| Doctor Name: | PROF. BRIAN B EDWARDS |
| NPI Number: | 1023054301 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC/LCDC |
| License Number: | 6401 |
| Business Practice Address: | 3000 N Garfield St Suite 215 Midland, TX - 797056400 |
| Business Phone Number: | 4326948509 |
| Business Fax Number: | 4326821442 |
| Mailing Address: | 3000 N Garfield St, Suite 215 MIDLAND |
| State: | TX |
| Postal Code: | 797056400 |
| Phone Number: | 4326948509 |
| Fax Number: | 4326821442 |
| NPI Enumeration Date: | 06/22/2006 |
| NPI Last Update Date: | 05/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 6401 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |