# RIVERS EDGE THERAPY AND COUNSELING SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518692177
- **Authorized official:** RAEYA DISNEY (OWNER, LCSW-C)
- **Authorized official phone:** (240) 495-9384

## Contact information

- **Practice address:** 1185 MOUNT AETNA RD STE 102, HAGERSTOWN, MD 21740-6832
- **Practice address phone:** (240) 495-9384
- **Mailing address:** 1185 MOUNT AETNA RD STE 102, HAGERSTOWN, MD 21740-6832
- **Mailing address phone:** (240) 495-9384

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 07/19/2022
- **Last updated:** 07/19/2022