National Provider Identifier Database

RIVERSIDE COUNSELING AND PERSONAL DEVELOPMENT LLC
Adult Mental Health

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.


Contact Information

RIVERSIDE COUNSELING AND PERSONAL DEVELOPMENT, LLC
2774 COBB PARKWAY NW
STE 109 - 454
KENNESAW, GA30152
Phone: 678-860-9766
Fax:
Website:
Specialty Taxonomy Code
* Adult Mental Health 261QM0850X

* Indicates primary specialty

NPI Profile & details for RIVERSIDE COUNSELING AND PERSONAL DEVELOPMENT, LLC

NPI Number 1174267553
Legal business name
LBN
RIVERSIDE COUNSELING AND PERSONAL DEVELOPMENT, LLC
Authorized official ANNIKA RUSSAW - (CEO)
Entity Organization
Organization subpart No
Enumeration date 04/22/2022
Last updated 04/22/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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