Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tina Louise Edwards

Individual provider Counselor · NPI 1013683655

Tina Louise Edwards is a Mental Health Counselor in Macclenny, Florida. Qualified in 2020, 6 years ago. Practices with Meridian Behavioral Healthcare Inc, a 45-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
6
In the registry since
2021
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Practice location Address checks out

84 W Lowder St
Macclenny, FL 32063-2638
Phone: (352) 374-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1013683655
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 23, 2021
Last updated in NPPESAugust 23, 2021
Certification dateAugust 23, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Meridian Behavioral Healthcare Inc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Macclenny