Provider Demographics
NPI:1306732342
Name:EDWARDS, CURTIS (LGPC)
Entity type:Individual
Prefix:
First Name:CURTIS
Middle Name:
Last Name:EDWARDS
Suffix:
Gender:M
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6407 PARK HALL DR
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-2994
Mailing Address - Country:US
Mailing Address - Phone:917-692-9022
Mailing Address - Fax:
Practice Address - Street 1:4000 BLACKBURN LN STE 150
Practice Address - Street 2:
Practice Address - City:BURTONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20866-6127
Practice Address - Country:US
Practice Address - Phone:301-421-4241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP6997101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional