Individual provider · Type 1 NPI
Leon Rennoda Edwards, B.S.W., M.SS.W, D.S.
Mental Health Counselor · Memphis, TN
NPI number
1982828158
Active
Practice location
3585 Austin Peay Hwy Suite #112, Suite 112
Memphis, TN 38128
Mailing address
3810 Pineview Road Apt #103, Apt #103
Memphis, TN 38125
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Clinical Social Worker | 1041C0700X | 5504-LCSW (TN) |
| Mental Health Counselor Primary | 101YM0800X | 5504-LCSW (TN) |
Mental Health Counselor: Definition to come...
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About NPI 1982828158
Leon Rennoda Edwards, B.S.W., M.SS.W, D.S.'s National Provider Identifier is 1982828158, issued on Apr 12, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Memphis, TN. The record was last updated on Oct 24, 2018.