Individual provider · Type 1 NPI

Terriaunce Edwards

Counselor · Vicksburg, MS

NPI number 1780592188 Active

Practice location

3530A Manor Dr
Vicksburg, MS 39180-5693

Call (601) 738-5260 Map

Mailing address

1867 Crane Ridge Dr Ste 105C
Jackson, MS 39216-4910

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1780592188

Terriaunce Edwards's National Provider Identifier is 1780592188, issued on Aug 28, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Vicksburg, MS. The record was last updated on Aug 28, 2026.