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MR. LARRY WAYNE EDWARDS BS
NPI 1184375016
Substance Abuse Rehabilitation Facility in Benton Harbor, MI

Active since January 12, 2022
1022 E MAIN ST, BENTON HARBOR, MI 49022(269) 926-0015(269) 926-0123 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Larry Wayne Edwards Bs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LARRY WAYNE EDWARDS BS (NPI 1184375016) is an individual substance abuse rehabilitation facility provider in Benton Harbor, Michigan and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1184375016
Entity TypeIndividualMale
Primary Taxonomy324500000X
Provider Legal NameMR. LARRY WAYNE EDWARDSCredential: BS
Location Address1022 E MAIN STBenton Harbor, MI 49022-3036
Mailing Address1022 E Main StBenton Harbor, MI 49022-3036 · (269) 926-0015 · Fax (269) 926-0123
Phone(269) 926-0015
Fax(269) 926-0123
Sole ProprietorYes
Enumeration DateJanuary 12, 2022
NPPES CertifiedJanuary 12, 2022
✔ NPI 1184375016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
1022 E MAIN ST, Benton Harbor, MI 49022
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRACIE WRIGHT-NICHOLS
Social Worker
1022 E MAIN ST
BENTON HARBOR, MI 49022
Berrien County (269) 926-0015
HARBORTOWN TREATMENT CENTER PLLC
Clinic/Center (Methadone)
1022 E MAIN ST
BENTON HARBOR, MI 49022
Berrien County (269) 926-0015
VINEESHA RATHNAM
Counselor (Addiction (Substance Use Disorder))
1022 E MAIN ST
BENTON HARBOR, MI 49022
Berrien County (269) 926-0015
MISS DANELL ELAINE PANOZZO LMSW
Counselor (Addiction (Substance Use Disorder))
1022 E MAIN ST
BENTON HARBOR, MI 49022
Berrien County (269) 926-0015
CHRISTINE MARIE DAUGHERTY RN
Counselor (Addiction (Substance Use Disorder))
1022 E MAIN ST
BENTON HARBOR, MI 49022
Berrien County (269) 926-0015
MISS ALISHA LYNN RISNER LSW
Counselor
1022 E MAIN ST
BENTON HARBOR, MI 49022
Berrien County (269) 926-0015
DARIEN SMITH
Psychologist (Counseling)
1022 E MAIN ST
BENTON HARBOR, MI 49022
Berrien County (269) 926-0015
MRS. SHANNON WHITE M.A.
Counselor (Mental Health)
1022 E MAIN ST
BENTON HARBOR, MI 49022
Berrien County (269) 926-0015

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Edwards's NPI number?

The NPI number for Larry Edwards is 1184375016. It was assigned to this individual provider in the NPPES registry on January 12, 2022.

Where is Larry Edwards located?

Larry Edwards practices at 1022 E Main St, Benton Harbor, MI 49022. The listed phone number is (269) 926-0015.

What is Larry Edwards's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Larry Edwards was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.