Provider Demographics
NPI:1215965447
Name:EDWARDS, RALPH H JR (LPC)
Entity type:Individual
Prefix:MR
First Name:RALPH
Middle Name:H
Last Name:EDWARDS
Suffix:JR
Gender:M
Credentials:LPC
Other - Prefix:MR
Other - First Name:RALPH
Other - Middle Name:H
Other - Last Name:EDWARDS
Other - Suffix:JR
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18 DOGWOOD RD
Mailing Address - Street 2:
Mailing Address - City:HAZLEHURST
Mailing Address - State:GA
Mailing Address - Zip Code:31539-6042
Mailing Address - Country:US
Mailing Address - Phone:912-539-7024
Mailing Address - Fax:912-379-0081
Practice Address - Street 1:124 E JARMAN ST
Practice Address - Street 2:
Practice Address - City:HAZLEHURST
Practice Address - State:GA
Practice Address - Zip Code:31539-6132
Practice Address - Country:US
Practice Address - Phone:912-375-2009
Practice Address - Fax:912-379-0081
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC004050101YP2500X
GA004050101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional