RIVER RIDGE LLC NPI 1164891776

NPI Information

  • NPI: 1164891776
  • Provider Name: RIVER RIDGE, LLC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Other Name: RIVER RIDGE, LLC-BURNSVILLE OUTPATIENT
  • Address: 14750 LAC LAVON DR
    BURNSVILLE, MN
    ZIP 55306
  • Phone: (952) 894-7722

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NPI Details

RIVER RIDGE, LLC is an addiction (substance use disorder) counselor in Burnsville, MN. RIVER RIDGE, LLC NPI is 1164891776. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is River Ridge, Llc-burnsville Outpatient.

The provider's business location address is:

14750 LAC LAVON DR
BURNSVILLE, MN
ZIP 55306-398
Phone: (952) 894-7722

The provider's authorized official is Brian P Sammon .
The authorized official title is President and has the following contact phone number (952) 564-3000.

The enumeration date for this NPI number is 9/24/2015 and was last updated on 9/29/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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