Individual provider · Type 1 NPI

Theo Edwards

Mental Health Counselor · Champaign, IL

NPI number 1306739883 Active

Practice location

100 N Chestnut St Ste 225
Champaign, IL 61820-3329

Call (217) 203-2030 Map

Fax (217) 355-1255

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1306739883

Theo Edwards's National Provider Identifier is 1306739883, issued on Jun 2, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Champaign, IL. The record was last updated on Aug 28, 2026.