Organization
EDWARDS BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA EDWARDS PMHNP-BC (OWNER)
(270) 315-6459
Entity
Organization
Contact information
Practice address
920 FREDERICA ST STE 204, OWENSBORO, KY 42301-3077
(270) 574-5600
(270) 574-5609
Mailing address
PO BOX 22619, OWENSBORO, KY 42303
(270) 315-6459
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100690000
—
KY
Enumeration date
06/26/2020
Last updated
01/14/2021
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