Active NPIIndividual providerSole proprietor

Javonte Edwards

Counselor in Lynn, Massachusetts

NPI Number1477271641
Practice location
110 Boston Street, Salem, Ma 01970, 2, Lynn, MA 01902-0190
Fax
—
Last updated
August 15, 2022

Javonte Edwards is a Counselor based in Lynn, MA. Javonte Edwards practices in Lynn, MA. The NPI Number for Javonte Edwards is 1477271641. The current practice location address for Javonte Edwards is 110 Boston Street, Salem, Ma 01970, 2, Lynn, MA 01902-0190 and can be reached out via phone at 781-990-9675.

Provider Profile Details

NPI Number
1477271641
Provider Name
Javonte Edwards
Provider Entity Type
Individual
Gender
Male
Address
110 Boston Street, Salem, Ma 01970, 2, Lynn, MA 01902-0190
Phone Number
781-990-9675
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 15, 2022
Last Update Date
August 15, 2022
Certification Date
August 12, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
110 Boston Street, Salem, Ma 01970
2
Lynn, MA 01902-0190
City
Lynn
Zip
01902-0190
Phone Number
781-990-9675
Lynn, MA 01902Get directions →

Provider Business Mailing Address Details

Address
64 Chatham St Apt 2
Lynn, MA 01902-2448
City
Lynn
State
MA
Zip
01902-2448
Phone Number
781-990-9675

License Information

License State
MA
Taxonomy
Counselor · 101Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Javonte Edwards?

The NPI number of Javonte Edwards is 1477271641. It was assigned on August 15, 2022 and is currently active in the NPPES registry.

What is the specialty of Javonte Edwards?

Javonte Edwards is registered under the primary taxonomy Counselor (code 101Y00000X).

Where does Javonte Edwards practice?

The practice location is 110 Boston Street, Salem, Ma 01970, 2, Lynn, MA 01902-0190. The office can be reached at 781-990-9675 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477271641 directly on the NPPES registry website.

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