Provider Demographics
NPI:1285412346
Name:CAVER, EDITH CAMILLE (MS, LPC, ICAADC)
Entity type:Individual
Prefix:
First Name:EDITH
Middle Name:CAMILLE
Last Name:CAVER
Suffix:
Gender:F
Credentials:MS, LPC, ICAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2368 COUNTY ROAD 40 W
Mailing Address - Street 2:
Mailing Address - City:BILLINGSLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36006-3800
Mailing Address - Country:US
Mailing Address - Phone:334-430-5641
Mailing Address - Fax:
Practice Address - Street 1:4171 LOMAC STREET
Practice Address - Street 2:SUITE F#1127
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106
Practice Address - Country:US
Practice Address - Phone:334-267-7599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-20
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLPC05023101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional