EDGECARE 360 LLC
NPI 1306590328
Counselor - Mental Health in Marietta, GA
About Edgecare 360 Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDGECARE 360 LLC (NPI 1306590328) is a healthcare organization registered as a mental health in Marietta, Georgia and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through November 11, 2026 and lists Jennifer Edge, Ceo/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D2313967
Edgecare360 LLC · Marietta, GAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARIETTA, GA 30067
MARIETTA, GA 30067
MARIETTA, GA 30067
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 Edgecare 360 LLC's NPI number?
The NPI number for Edgecare 360 LLC is 1306590328. It was assigned to this organization in the NPPES registry on February 8, 2022.
Where is Edgecare 360 LLC located?
Edgecare 360 LLC is located at 2470 Windy Hill Rd SE Ste 300, Marietta, GA 30067. The listed phone number is (770) 933-5328.
What is Edgecare 360 LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Does Edgecare 360 LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2313967) is associated with this NPI, valid through November 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Edgecare 360 LLC was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
