Provider Demographics
NPI:1417769282
Name:C EDWARDS CONCEPTS, LLC PUBLIC HEALTH AND DEVELOPMENT CONSULTING
Entity type:Organization
Organization Name:C EDWARDS CONCEPTS, LLC PUBLIC HEALTH AND DEVELOPMENT CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARLETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:MSPH, LAC,AADC, CMAT
Authorized Official - Phone:318-751-3815
Mailing Address - Street 1:5440 W 110TH ST STE 300
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1221
Mailing Address - Country:US
Mailing Address - Phone:318-751-3815
Mailing Address - Fax:
Practice Address - Street 1:5440 W 110TH ST STE 300
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1221
Practice Address - Country:US
Practice Address - Phone:318-751-3815
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder