Riverside Counseling Center, PLLC
Counselor, Mental Health in New Braunfels, TX. Organization (NPI-2).
NPI number1699409201
StatusActive
Last updated in NPPESMar 14, 2023
Details
- NPI
- 1699409201
- Entity type
- Organization (NPI-2)
- Legal business name
- Riverside Counseling Center, PLLC
- Organization subpart
- No
- Enumeration date
- Jul 11, 2022
- Certification date
- Mar 14, 2023
- Last updated
- Mar 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 103T00000X | Psychologist | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 106H00000X | Marriage & Family Therapist | – | – |
Other names
- Ellie Mental Health (Doing Business As)
Practice location
3016 Independence Dr Ste 105New Braunfels, TX 78132-4478
Phone 210-517-9024
Mailing address
3016 Independence Dr Ste 105New Braunfels, TX 78132-4478
Phone 210-570-9024
Authorized official
Jolene Joy Des Roches
Clinical Director
2105179024
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