RIVER'S EDGE COUNSELING PLLC NPI 1053981852

NPI Information

NPI: 1053981852
Provider Name: RIVER'S EDGE COUNSELING, PLLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
8465 MERCHANTS WAY STE 104
JACKSONVILLE, FL
ZIP 32222
Phone: (904) 379-8675
Get Directions

RIVER'S EDGE COUNSELING, PLLC is a mental health counselor in Jacksonville, FL. RIVER'S EDGE COUNSELING, PLLC NPI is 1053981852. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8465 MERCHANTS WAY STE 104
JACKSONVILLE, FL
ZIP 32222-858
Phone: (904) 379-8675

The provider's authorized official is Amanda Hannah .
The authorized official title is Owner and has the following contact phone number (904) 379-8675.

The enumeration date for this NPI number is 6/25/2021 and was last updated on 6/25/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101Y00000X	Counselor		No
2	101YM0800X	Counselor	Mental Health	Yes
3	104100000X	Social Worker		No
4	1041C0700X	Social Worker	Clinical	No
5	106H00000X	Marriage & Family Therapist		No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	020394200	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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