Provider Demographics
NPI:1699326462
Name:EDGINGTON, VICTORIA (MA, LPCC, LMHC)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:EDGINGTON
Suffix:
Gender:
Credentials:MA, LPCC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8410 FALLS OF NEUSE RD STE D
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-3536
Mailing Address - Country:US
Mailing Address - Phone:803-322-2221
Mailing Address - Fax:
Practice Address - Street 1:341 S 3RD ST STE 437
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-5463
Practice Address - Country:US
Practice Address - Phone:803-322-2221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-24
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.2103109101YP2500X
104100000X, 171M00000X
OHE.2504985101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator