| Rivers Edge Therapy And Counseling Services | |
|
1185 Mount Aetna Rd Ste 102 Hagerstown MD 21740-6832 | |
| (240) 495-9384 | |
| Not Available |
| Full Name | Rivers Edge Therapy And Counseling Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 1185 Mount Aetna Rd Ste 102, Hagerstown, Maryland |
| Authorized Official Name and Position | Raeya Disney (OWNER, LCSW-C) |
| Authorized Official Contact | 2404959384 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rivers Edge Therapy And Counseling Services 1185 Mount Aetna Rd Ste 102 Hagerstown MD 21740-6832 Ph: (240) 495-9384 | Rivers Edge Therapy And Counseling Services 1185 Mount Aetna Rd Ste 102 Hagerstown MD 21740-6832 Ph: (240) 495-9384 |
| NPI Number | 1518692177 |
|---|---|
| Provider Enumeration Date | 07/19/2022 |
| Last Update Date | 07/19/2022 |
| Certification Date | 07/19/2022 |
| Medicare PECOS PAC ID | 5890171961 |
|---|---|
| Medicare Enrollment ID | O20220928000459 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518692177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Raeya Nicole Disney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568942050 PECOS PAC ID: 9830595636 Enrollment ID: I20210902000338 |
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