| Riverside Counseling And Personal Development, Llc | |
|
2774 Cobb Parkway Nw Ste 109 - 454 Kennesaw GA 30152 | |
| (678) 860-9766 | |
| Not Available |
| Full Name | Riverside Counseling And Personal Development, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2774 Cobb Parkway Nw, Kennesaw, Georgia |
| Authorized Official Name and Position | Annika Russaw (CEO) |
| Authorized Official Contact | 6788609766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Counseling And Personal Development, Llc 2774 Cobb Parkway Nw Ste 109 - 454 Kennesaw GA 30152 Ph: (678) 860-9766 | Riverside Counseling And Personal Development, Llc 2774 Cobb Parkway Nw Ste 109 - 454 Kennesaw GA 30152 Ph: (678) 860-9766 |
| NPI Number | 1174267553 |
|---|---|
| Provider Enumeration Date | 04/22/2022 |
| Last Update Date | 04/22/2022 |
| Certification Date | 04/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174267553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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