Provider Demographics
NPI:1548622921
Name:EDWARDS, STEVEN DEAN (LMHC, IADC)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:DEAN
Last Name:EDWARDS
Suffix:
Gender:M
Credentials:LMHC, IADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:STORM LAKE
Mailing Address - State:IA
Mailing Address - Zip Code:50588-1544
Mailing Address - Country:US
Mailing Address - Phone:712-730-5014
Mailing Address - Fax:
Practice Address - Street 1:824 FLINDT DR
Practice Address - Street 2:
Practice Address - City:STORM LAKE
Practice Address - State:IA
Practice Address - Zip Code:50588-3208
Practice Address - Country:US
Practice Address - Phone:712-363-4073
Practice Address - Fax:712-264-3158
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-24
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA15074101YA0400X
IA110127101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)