Charlette Edwards, MSPH, LAC, AADC, BA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1545 Line Ave
Shreveport, LA 71101-4600

Phone

(318) 519-4802

NPI assigned

Feb 4, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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.

• C Edwards Concepts, LLC Public Health and Development Consulting

  • Community/Behavioral Health Agency
  • Overland Park, KS
  • NPI 1417769282
  NPD Authorized official
• C Edwards Concepts, LLC Public Health and Development Consulting

  • Community/Behavioral Health Agency
  • Henderson, NV
  • NPI 1841013687
  NPD Authorized official
• Serenity Community Care and Behavioral Health

  • Community/Behavioral Health Agency
  • North Las Vegas, NV
  • NPI 1063794626
  NPD (past)

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1932448461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 LINE AVE STE 211",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014630",
            "telephone_number": "318-519-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014600",
            "telephone_number": "318-519-4802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2039 E Lake Mead Blvd",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890307135",
            "country_code": "US",
            "telephone_number": "702-724-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "CHARLETTE",
        "credential": "MSPH, LAC, AADC, BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Nicole Edmond
• Joshua Richard Edmunds, DO
• Educational Resources for Families
• Bradley Scott Edwardes, APRN-CNP
• Monique L Edwards-Linstrom, PLPC, CRC, MS ED
• Diane Edwards
• Ethel Edwards
• Gail Edwards
• Kaitlyn Edwards, LOTR
• Kristyn Turner Edwards

• Behavior Analyst in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Behavior Analyst in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.