Organization
REEF WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRENA L EDWARDS MA, LPC-S (THERAPIST)
(318) 935-9585
Entity
Organization
Contact information
Practice address
3616 YOUREE DR, SHREVEPORT, LA 71105-2122
(318) 779-0104
(318) 421-3193
Mailing address
10010 WILLOWWICK CT, SHREVEPORT, LA 71118-4521
(318) 935-9585
(318) 421-3193
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/27/2020
Last updated
02/21/2024
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