Riverside Counseling Services, LLC
Social Worker, Clinical in Melbourne, FL. Organization (NPI-2).
NPI number1003198409
StatusActive
Last updated in NPPESJul 8, 2025
Details
- NPI
- 1003198409
- Entity type
- Organization (NPI-2)
- Legal business name
- Riverside Counseling Services, LLC
- Organization subpart
- No
- Enumeration date
- Sep 13, 2011
- Certification date
- Jul 8, 2025
- Last updated
- Jul 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SW9134 | FL | Yes |
| 1041C0700X | Social Worker, Clinical | – | – |
Practice location
1301 W Eau Gallie Blvd Ste 96Melbourne, FL 32935-5390
Phone 321-421-6992 · Fax 321-421-6993
Mailing address
1301 W Eau Gallie Blvd Ste 96Melbourne, FL 32935-5390
Phone 321-421-6992 · Fax 321-421-6993
Authorized official
Timothy Thein
Executive Director
3214216992
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