# RIVER'S EDGE COUNSELING, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RIVER'S EDGE COUNSELING, PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1548958168
- **Legal business name:** RIVER'S EDGE COUNSELING, PLLC
- **Authorized official:** AMANDA HANNAH (OWNER)
- **Authorized official phone:** (904) 379-8675

## Contact information

- **Practice address:** 3003 CLAIRE LN STE 202, JACKSONVILLE, FL 32223-6665
- **Practice address phone:** (904) 379-8675
- **Mailing address:** 43 KNIGHT BOXX RD STE 1, ORANGE PARK, FL 32065-7395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |

## Other

- **Enumeration date:** 05/01/2023
- **Last updated:** 05/01/2023