Provider Demographics
NPI:1508281320
Name:EDWARDS, MALAIKA M (LCMHC)
Entity type:Individual
Prefix:DR
First Name:MALAIKA
Middle Name:M
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7283 VETERANS PKWY
Mailing Address - Street 2:STE 102, #182
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-7530
Mailing Address - Country:US
Mailing Address - Phone:984-334-2867
Mailing Address - Fax:919-551-7541
Practice Address - Street 1:4909 WATERS EDGE DR STE 101D
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27606-2462
Practice Address - Country:US
Practice Address - Phone:984-334-2867
Practice Address - Fax:919-551-7541
Is Sole Proprietor?:No
Enumeration Date:2014-03-03
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10615101Y00000X, 101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional