779 Riverside Recovery & Counseling Services

Specialty details in registry · Edina, MN

Call (612) 223-6622 Directions

At a glance

4940 W 77Th St, Edina, MN 55435-4805

NPPES record updated Jul 25, 2018. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

4940 W 77Th St
Edina, MN 55435-4805
Professional details: NPI, taxonomy & registry record
NPI1437636131
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
101YA0400X
Enumeration date
Jul 25, 2018
Record updated
Jul 25, 2018
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

101Y00000X

License reported: 00935 MN

Specialty details in registry

101YA0400X · Primary

License reported: 303344 MN

Mental Health Counselor

101YM0800X

License reported: 00935 MN

Specialty details in registry

101YP2500X

License reported: 00935 MN

Specialty details in registry

103TB0200X

License reported: 00935 MN

Specialty details in registry

103TC0700X

License reported: 00935 MN

Specialty details in registry

103TP2701X

License reported: 00935 MN

Specialty details in registry

261QM0850X

License reported: 00935 MN

Specialty details in registry

261QM0855X

License reported: 00935 MN

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4940 W 77Th St
Edina, MN 55435-4805
Phone
(612) 223-6622
Mailing address
8014 HIGHWAY 55 UNIT 197

GOLDEN VALLEY, MN 554274712
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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