Healthcare Provider Details

I. General information

NPI: 1457502577
Provider Name (Legal Business Name): RIVER COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2008
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11550 ARBOR LAKES PKWY N UNIT 1157
MAPLE GROVE MN
55369-2241
US

IV. Provider business mailing address

11550 ARBOR LAKES PKWY N UNIT 1157
MAPLE GROVE MN
55369-2241
US

V. Phone/Fax

Practice location:
  • Phone: 763-670-4638
  • Fax:
Mailing address:
  • Phone: 763-670-4638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALY MCGEE
Title or Position: OWNER
Credential: LICSW
Phone: 763-670-4638