| River's Edge Counseling, Pllc | |
|
3003 Claire Ln Ste 202 Jacksonville FL 32223-6665 | |
| (904) 379-8675 | |
| Not Available |
| Full Name | River's Edge Counseling, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3003 Claire Ln Ste 202, Jacksonville, Florida |
| Authorized Official Name and Position | Amanda Hannah (OWNER) |
| Authorized Official Contact | 9043798675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River's Edge Counseling, Pllc 43 Knight Boxx Rd Ste 1 Orange Park FL 32065-7395 Ph: () - | River's Edge Counseling, Pllc 3003 Claire Ln Ste 202 Jacksonville FL 32223-6665 Ph: (904) 379-8675 |
| NPI Number | 1548958168 |
|---|---|
| Provider Enumeration Date | 05/01/2023 |
| Last Update Date | 05/01/2023 |
| Certification Date | 05/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548958168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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