779 Riverside Recovery & Counseling Services

LBN: 779 Riverside Recovery & Counseling Services
779 Riverside Recovery & Counseling Services is an health care organization with primary practice located at 4940 W 77Th St , Edina MN 55435-4805. The organization recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Group Psychotherapy, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. 779 Riverside Recovery & Counseling Services can be contacted via phone (612) 223-6622, or through Nakumbe, Coach via phone (612) 223-6622.

Contact Information

Primary practice address
4940 W 77Th St Edina MN 55435-4805
Phone: (612) 223-6622
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nakumbe, Coach LPCC, LADC
Phone: (612) 223-6622

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 00935 Minnesota
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 303344 Minnesota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 00935 Minnesota
Behavioral Health & Social Service Providers / Professional 101YP2500X 00935 Minnesota
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 00935 Minnesota
Behavioral Health & Social Service Providers / Clinical 103TC0700X 00935 Minnesota
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 00935 Minnesota
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 00935 Minnesota
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 00935 Minnesota

Profile Details

NPI number 1437636131
LBN Legal business name 779 Riverside Recovery & Counseling Services
DBA Doing business as
Authorized official Nakumbe, Coach LPCC, LADC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2018
Last updated Jul 25th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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