Healthcare Provider Details

I. General information

NPI: 1386500932
Provider Name (Legal Business Name): RIVER'S EDGE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 12/29/2025
Certification Date: 12/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51385 SW OLD PORTLAND RD STE B
SCAPPOOSE OR
97056-4062
US

IV. Provider business mailing address

PO BOX 1532
SCAPPOOSE OR
97056-1532
US

V. Phone/Fax

Practice location:
  • Phone: 503-781-6634
  • Fax: 971-288-1776
Mailing address:
  • Phone: 503-781-6634
  • Fax: 971-288-1776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MONICA LINDER
Title or Position: MANAGER/OWNER
Credential: LCSW
Phone: 503-781-6634