Organization
EDGECARE 360 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER EDGE LCSW (CEO/OWNER)
(910) 212-2496
Entity
Organization
Contact information
Practice address
2470 WINDY HILL RD SE STE 300, MARIETTA, GA 30067-8621
(770) 933-5328
Mailing address
225 FRANKLIN FARMS CIR, FAYETTEVILLE, GA 30214-3363
(678) 561-5066
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
02/08/2022
Last updated
08/14/2025
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