| Solriver Counseling Llc | |
|
1720 Se 8th Ave Cape Coral FL 33990-2307 | |
| (754) 307-6860 | |
| Not Available |
| Full Name | Solriver Counseling Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1720 Se 8th Ave, Cape Coral, Florida |
| Authorized Official Name and Position | Nicole Edwards (OWNER) |
| Authorized Official Contact | 7543076860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Solriver Counseling Llc 7931 East Dr North Bay Village FL 33141-3342 Ph: () - | Solriver Counseling Llc 1720 Se 8th Ave Cape Coral FL 33990-2307 Ph: (754) 307-6860 |
| NPI Number | 1225792401 |
|---|---|
| Provider Enumeration Date | 10/25/2021 |
| Last Update Date | 04/15/2024 |
| Certification Date | 04/15/2024 |
| Medicare PECOS PAC ID | 0941690739 |
|---|---|
| Medicare Enrollment ID | O20240522000052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225792401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Nicole Edwards |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871004374 PECOS PAC ID: 0648660407 Enrollment ID: I20240522000088 |
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