RIVERSIDE COUNSELING AND PERSONAL DEVELOPMENT LLC NPI 1174267553

NPI Information

  • NPI: 1174267553
  • Provider Name: RIVERSIDE COUNSELING AND PERSONAL DEVELOPMENT, LLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 2774 COBB PARKWAY NW
    STE 109 - 454
    KENNESAW, GA
    ZIP 30152
  • Phone: (678) 860-9766

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NPI Details

RIVERSIDE COUNSELING AND PERSONAL DEVELOPMENT, LLC is an adult mental health clinic center in Kennesaw, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. RIVERSIDE COUNSELING AND PERSONAL DEVELOPMENT, LLC NPI is 1174267553. The provider is registered as an organization entity type.

The provider's business location address is:

2774 COBB PARKWAY NW
STE 109 - 454
KENNESAW, GA
ZIP 30152
Phone: (678) 860-9766

The provider's authorized official is Annika Russaw .
The authorized official title is Ceo and has the following contact phone number (678) 860-9766.

The enumeration date for this NPI number is 4/22/2022 and was last updated on 4/22/2022.

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
1261QM0850XClinic/CenterAdult Mental HealthYes

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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