Provider Demographics
NPI:1699476903
Name:EDWARDS, ERICH JOSEPH (LMFT)
Entity type:Individual
Prefix:
First Name:ERICH
Middle Name:JOSEPH
Last Name:EDWARDS
Suffix:
Gender:
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 EMERSON AVE
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26104-2526
Mailing Address - Country:US
Mailing Address - Phone:304-865-5444
Mailing Address - Fax:304-865-5445
Practice Address - Street 1:911 EMERSON AVE
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26104-2526
Practice Address - Country:US
Practice Address - Phone:304-865-5444
Practice Address - Fax:304-865-5445
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-14
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHM.2400309106H00000X
WV913106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist