Individual
PHILLIP EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLMHP, PLADC
Contact information
Practice address
12035 Q ST, OMAHA, NE 68137-3542
(402) 991-0611
(402) 991-6228
Mailing address
12035 Q ST, OMAHA, NE 68137-3542
(402) 991-0611
(402) 991-6228
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-2361
NE
101YM0800X
Mental Health Counselor
Primary
14638
NE
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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