Shelby Lynn Edwards, MSW
Individual provider Active NPI Mental Health Counselor · Richview, IL
NPI 1386024784 · NPPES record last updated Jun 2, 2015
Key facts
- NPI
- 1386024784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 432 W Olive St
Richview, IL 62877 - Phone
- (618) 533-1391
- Fax
- (618) 533-0012
- NPI assigned
- Jun 2, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
432 W Olive St
Richview, IL 62877
Mailing address
432 W Olive St
Richview, IL 62877-1974
Phone (618) 533-1391
Other providers in Richview, IL
All providers in Richview, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.