# RIVERS EDGE BEHAVIORAL HEALTH SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RIVERS EDGE BEHAVIORAL HEALTH SERVICES, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1790453751
- **Legal business name:** RIVERS EDGE BEHAVIORAL HEALTH SERVICES, LLC
- **Authorized official:** JULIE RACINE PMHNP-BC (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (207) 290-1450

## Contact information

- **Practice address:** 213 W BROADWAY, LINCOLN, ME 04457-4001
- **Practice address phone:** (207) 403-9215
- **Mailing address:** PO BOX 27, SPRINGFIELD, ME 04487-0027
- **Mailing address phone:** (207) 290-1450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/02/2021
- **Last updated:** 09/02/2021