Individual
WANDA M EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, MHPP, MS
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
TX
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
—
—
251S00000X
Community/Behavioral Health Agency
—
TX
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116378726
—
AR
Enumeration date
05/10/2011
Last updated
03/27/2026
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