Healthcare Provider Details

I. General information

NPI: 1487531323
Provider Name (Legal Business Name): AMERICAN RIVER COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2025
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1192 SUNCAST LN STE 2A
EL DORADO HILLS CA
95762-9330
US

IV. Provider business mailing address

3297 TEA ROSE DR
EL DORADO HILLS CA
95762-6568
US

V. Phone/Fax

Practice location:
  • Phone: 916-847-6427
  • Fax:
Mailing address:
  • Phone: 916-847-6427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: BEVERLY BALDWIN
Title or Position: CEO
Credential: LMFT
Phone: 916-847-6427