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Organization
WATERS EDGE COUNSELING, LLC
Active
Organization
WATERS EDGE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IESHA FELTON-WATERS LCPC, LPCC, NCC (OWNER)
(443) 579-4714
Entity
Organization
Contact information
Practice address
2615 DONNER TRL, RIVERBANK, CA 95367-9578
(443) 579-4714
Mailing address
PO BOX 116, RIVERBANK, CA 95367-0116
(443) 579-4714
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/23/2023
Last updated
03/05/2026
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