Provider Demographics
NPI:1801673496
Name:EDINGER RELATIONAL VENTURES LLC
Entity type:Organization
Organization Name:EDINGER RELATIONAL VENTURES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST/ PRACTICE OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:SKEETZ
Authorized Official - Last Name:EDINGER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT-S
Authorized Official - Phone:832-731-4881
Mailing Address - Street 1:149 DERBY ST APT J
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-5600
Mailing Address - Country:US
Mailing Address - Phone:832-731-4881
Mailing Address - Fax:
Practice Address - Street 1:149 DERBY ST APT J
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-5600
Practice Address - Country:US
Practice Address - Phone:832-731-4881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty