Organization
EDWARDS MENTORING AND SOCIAL SERVICES, LMSW, P.L.L.C.
Active
Other names
Edwards Mentoring
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY D EDWARDS LMSW (FOUNDER / DIRECTOR)
(646) 824-5737
Entity
Organization
Contact information
Practice address
19005 122ND AVE, SUITE A, SPRINGFIELD GARDENS, NY 11413-1010
(646) 824-5737
Mailing address
19005 122ND AVE, SUITE A, SPRINGFIELD GARDENS, NY 11413-1010
(646) 824-5737
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
092982
NY
171M00000X
Case Manager/Care Coordinator
092982
NY
251B00000X
Case Management Agency
092982
NY
251S00000X
Community/Behavioral Health Agency
Primary
092982
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699170365
—
NY
Enumeration date
12/16/2016
Last updated
12/16/2016
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