| Doctor Name: | MRS. TERINA GAYE EDWARDS |
| NPI Number: | 1205121688 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BS, SST |
| License Number: | 6803086151 |
| Business Practice Address: | 3079 Lehman St Hamtramck, MI - 482123581 |
| Business Phone Number: | 3136856384 |
| Business Fax Number: | |
| Mailing Address: | 3079 Lehman St, HAMTRAMCK |
| State: | MI |
| Postal Code: | 482123581 |
| Phone Number: | 3136856384 |
| Fax Number: | |
| NPI Enumeration Date: | 06/14/2011 |
| NPI Last Update Date: | 06/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 6803086151 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |