Cyereka D Edouard, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10821 Issued in GA

Practice address

1 W Court SQ Ste 736
Decatur, GA 30030-2538

Phone

(404) 689-5004

NPI assigned

Aug 31, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ce Hope Counseling Center, LLC

  • Mental Health Counselor
  • Decatur, GA
  • NPI 1710511373
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582416000000",
    "number": "1821570375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 N DECATUR RD STE 129",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335305",
            "telephone_number": "404-689-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W COURT SQ STE 736",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302538",
            "telephone_number": "404-689-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDOUARD",
        "first_name": "CYEREKA",
        "middle_name": "D",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-31",
        "last_updated": "2020-02-23",
        "certification_date": "2020-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3866",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "10821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eccentric Therapies LLC
• Edg Sports Medicine,Inc
• Elizabeth L Edge, LMSW
• Telisha Edmond, RN
• Tonja Renee Edmond, SLP-CCC
• Edward C Mack M.D.
• April Michelle Edwards, LCSW
• Brenda Edwards, LCSW
• Cynthia Marie Edwards, RN
• Deborah Abbott Edwards, LAPC

• Professional Counselor in Decatur, GA
• Providers in Decatur, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.