Provider Demographics
NPI:1700628484
Name:RIVER'S EDGE COUNSELING
Entity type:Organization
Organization Name:RIVER'S EDGE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST/OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:NICKY
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:BESETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-730-4395
Mailing Address - Street 1:PO BOX 33
Mailing Address - Street 2:
Mailing Address - City:ABERCROMBIE
Mailing Address - State:ND
Mailing Address - Zip Code:58001-0033
Mailing Address - Country:US
Mailing Address - Phone:701-730-4395
Mailing Address - Fax:
Practice Address - Street 1:510 ABERCROMBIE ST.
Practice Address - Street 2:
Practice Address - City:ABERCROMBIE
Practice Address - State:ND
Practice Address - Zip Code:58001
Practice Address - Country:US
Practice Address - Phone:701-730-4395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)