Provider Demographics
NPI:1972094571
Name:EDWARDS-SYLVESTER, SONJA LOUISE (LMHC)
Entity type:Individual
Prefix:
First Name:SONJA
Middle Name:LOUISE
Last Name:EDWARDS-SYLVESTER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:N/A
Other - Middle Name:N/A
Other - Last Name:N/A
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:140 WOOD RD STE 206
Mailing Address - Street 2:
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-2508
Mailing Address - Country:US
Mailing Address - Phone:978-222-3121
Mailing Address - Fax:978-296-3460
Practice Address - Street 1:140 WOOD RD # 206
Practice Address - Street 2:
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-2508
Practice Address - Country:US
Practice Address - Phone:978-222-3121
Practice Address - Fax:978-296-3460
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-20
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALMHC13239101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health