# EDGE COUNSELING & CONSULTING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144912106
- **Authorized official:** KYLE R SPADING LMHC, CRC (PRESIDENT/OWNER)
- **Authorized official phone:** (319) 350-0921

## Contact information

- **Practice address:** 309 SUNFLOWER DR, FAIRFAX, IA 52228-7608
- **Practice address phone:** (319) 350-0921
- **Mailing address:** 309 SUNFLOWER DR, FAIRFAX, IA 52228-7608
- **Mailing address phone:** (319) 350-0921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 2081P0004X | Spinal Cord Injury Medicine Physician | — | NULL | — |
| 2081P0004X | Spinal Cord Injury Medicine Physician | — | — | — |
| 225C00000X | Rehabilitation Counselor | — | NULL | — |
| 225C00000X | Rehabilitation Counselor | — | — | — |
| 225CA2500X | Assistive Technology Supplier Rehabilitation Counselor | — | NULL | — |
| 225CA2500X | Assistive Technology Supplier Rehabilitation Counselor | — | — | — |

## Other

- **Enumeration date:** 05/25/2023
- **Last updated:** 05/25/2023
