MEDICARE: RAIN RIVER COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1801738679
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAIN RIVER COUNSELING LLC

Provider Business Mailing Address
First Line	:	4903 VISTA WEST PKWY
Second Line	:
City	:	MIDLAND
State	:	TX
Zip	:	79705-2578
Country	:	US
Telephone Number	:	806-392-2803
Fax Number	:

Provider Business Practice Location Address
First Line	:	5105 SUNMORE CIR STE B
Second Line	:
City	:	MIDLAND
State	:	TX
Zip	:	79707-5197
Country	:	US
Telephone Number	:	432-274-2740
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AMBER CHAPMAN
Credential	:	LPC-S
Telephone Number	:	806-392-2803

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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Directions to “RAIN RIVER COUNSELING LLC ” Practice Location

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