Search › California › 1041C0700X
Shanice Edwards
NPI 1821654252 · on the registry since 2019
Practice
- Address
- 325 W Hospitality Ln Ste 112
San Bernardino, CA 92408 - Phone
- (909) 763-5803
- Organisation at this address
- Ultra Health Specialist,Inc.
Divina Family Counseling Services
Victor Community Support Services, Inc
Victor Community Support Services, Inc.
Aquiline Behavioral Therapy Centers, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 70
Additional practice sites
- 1908 Business Center Dr, San Bernardino, CA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
101YM0800X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California