River'S Edge Counseling, Pllc

LBN: River'S Edge Counseling, Pllc
River'S Edge Counseling, Pllc is an health care organization with primary practice located at 8465 Merchants Way Ste 104 , Jacksonville FL 32222-2858. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. River'S Edge Counseling, Pllc can be contacted via phone (904) 379-8675, or through Hannah, Amanda via phone (904) 379-8675.

Contact Information

Primary practice address
8465 Merchants Way Ste 104 Jacksonville FL 32222-2858
Phone: (904) 379-8675
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hannah, Amanda
Phone: (904) 379-8675

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1053981852
LBN Legal business name River'S Edge Counseling, Pllc
DBA Doing business as
Authorized official Hannah, Amanda
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 25th, 2021
Last updated Jun 25th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053981852 NPPES
Florida MEDICAID 020394200

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