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NPI Code Detail

MEDICARE: SOLRIVER COUNSELING LLC

MEDICARE: SOLRIVER 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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1225792401
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOLRIVER COUNSELING LLC
Provider Business Mailing Address
First Line : 7931 EAST DR
Second Line :
City : NORTH BAY VILLAGE
State : FL
Zip : 33141-3342
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1720 SE 8TH AVE
Second Line :
City : CAPE CORAL
State : FL
Zip : 33990-2307
Country : US
Telephone Number : 754-307-6860
Fax Number :
Authorized Official
Title or Position : OWNER
Name : NICOLE EDWARDS
Credential : LMHC
Telephone Number : 754-307-6860
Provider Enumeration Date : 10/25/2021
Last Update Date : 04/15/2024

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Directions to “SOLRIVER COUNSELING LLC ” Practice Location

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