Edwards, Brandi Lashaye

Edwards, Brandi Lashaye is an individual health care provider with primary practice located at 1200 James Street , Jacksonville AR 72076-3143. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Edwards, Brandi Lashaye can be contacted via phone (501) 982-5000.

Contact Information

Primary practice address
1200 James Street Jacksonville AR 72076-3143
Fax: (501) 982-5007
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3838-C Arkansas

Profile Details

NPI number 1114179934
LBN Legal business name Edwards, Brandi Lashaye
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2008
Last updated Feb 16th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114179934 NPPES
Arkansas Other 5WW24 BCBS
Arkansas MEDICAID 182045795 BCBS

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