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Organization
RIVER'S EDGE COUNSELING, PLLC
Active
Organization
RIVER'S EDGE COUNSELING, PLLC
Active
Parent organization
RIVERS EDGE COUNSELING PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERS EDGE COUNSELING PLLC
Authorized official
AMANDA HANNAH (OWNER)
(904) 379-8675
Entity
Organization
Contact information
Practice address
8465 MERCHANTS WAY STE 104, JACKSONVILLE, FL 32222-2858
(904) 379-8675
Mailing address
43 KNIGHT BOXX RD STE 100, ORANGE PARK, FL 32065-7395
(904) 379-8675
(904) 423-0490
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020394200
—
FL
Enumeration date
06/25/2021
Last updated
06/25/2021
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