Keith Wilson Edmonds, LPC

Professional Counselor · Evans, GA

Individual Active NPI

NPI number 1073844395

Practice location

1202 Town Park Ln Ste 300
Evans, GA 30809-3477
Phone
(706) 210-8855
Fax
(706) 432-8775

Open in Google Maps

NPI record

NPI
1073844395
Entity type
Individual (Type 1)
Enumeration date
January 26, 2010
Last updated
May 12, 2026
Certified
May 12, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Professional Counselor Primary 101YP2500X LPC004579 GA

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630

About Keith Edmonds

Keith Wilson Edmonds, LPC is a healthcare provider registered in the NPI registry with the primary taxonomy Professional Counselor (code 101YP2500X). The practice location is 1202 Town Park Ln Ste 300, Evans, GA 30809-3477. The NPI number 1073844395 was assigned on January 26, 2010 and the record was last updated on May 12, 2026.

Keith Edmonds lists a license in the registry: #LPC004579 (GA) for Professional Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Keith Wilson Edmonds, LPC?

The NPI number is 1073844395.

What is the phone number of Keith Edmonds?

The phone number listed for the practice location is (706) 210-8855.

Where is Keith Edmonds located?

1202 Town Park Ln Ste 300, Evans, GA 30809-3477.

What is the taxonomy code for Keith Edmonds?

The primary taxonomy code is 101YP2500X – Professional Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Professional Counselor providers in Evans

All Professional Counselor providers in Evans, GA →