| River's Edge Counseling, Pllc | |
|
43 Knight Boxx Rd Ste 1 Orange Park FL 32065-7395 | |
| (904) 379-8675 | |
| (904) 423-0490 |
| Full Name | River's Edge Counseling, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 43 Knight Boxx Rd, Orange Park, 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: (904) 379-8675 | River's Edge Counseling, Pllc 43 Knight Boxx Rd Ste 1 Orange Park FL 32065-7395 Ph: (904) 379-8675 |
| NPI Number | 1396155768 |
|---|---|
| Provider Enumeration Date | 05/06/2014 |
| Last Update Date | 01/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396155768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 12220 (Florida) | Primary |
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