779 Riverside Recovery & Counseling Services is an Adolescent and Children Mental Health Clinic/Center based in Golden Valley, MN and is specialized in Adolescent and Children Mental Health. 779 Riverside Recovery & Counseling Services practices in Edina, MN. The NPI Number for 779 Riverside Recovery & Counseling Services is 1437636131 and holds a License No. 00935 (Minnesota).
The current practice location address for 779 Riverside Recovery & Counseling Services is 4940 W 77Th St, Edina, MN and can be reached out via phone at 612-223-6622.
Location: 4940 W 77Th St, Edina, MN, 55427-4712
Provider Profile Details
NPI Number
1437636131
Provider Name
779 Riverside Recovery & Counseling Services
Credential
Provider Entity Type
Organization
Address
4940 W 77Th St, Edina, MN, 55427-4712
Phone Number
612-223-6622
Fax Number
Provider Enumeration Date
07/25/2018
Last Update Date
03/13/2024
Provider Business Practice Location Address Details
Address
4940 W 77Th St
City
State
Zip
55435-4805
Phone Number
612-223-6622
Fax Number
Provider Business Mailing Address Details
Address
4940 W 77Th St
City
State
Zip
55435-4805
Phone Number
612-223-6622
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
00935 (Minnesota)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
00935 (Minnesota)
Definition
Definition to come...
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
00935 (Minnesota)
Definition
Definition to come...
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
00935 (Minnesota)
Definition
Definition to come...
Provider's Taxonomy Details 5
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Cognitive & Behavioral
Taxonomy
License No.
00935 (Minnesota)
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
Provider's Taxonomy Details 6
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
License No.
00935 (Minnesota)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Provider's Taxonomy Details 7
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Group Psychotherapy
Taxonomy
License No.
00935 (Minnesota)
Definition
A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.
Provider's Taxonomy Details 8
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
303344 (Minnesota)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Provider's Taxonomy Details 9
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
License No.
00935 (Minnesota)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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