RIVERSIDE PSYCHOTHERAPY PLLC NPI 1477987394

NPI Information

NPI: 1477987394
Provider Name: RIVERSIDE PSYCHOTHERAPY, PLLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
3914 SAINT ELMO AVE STE C
CHATTANOOGA, TN
ZIP 37409
Phone: (423) 802-6943
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RIVERSIDE PSYCHOTHERAPY, PLLC is a professional counselor in Chattanooga, TN. RIVERSIDE PSYCHOTHERAPY, PLLC NPI is 1477987394. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3914 SAINT ELMO AVE STE C
CHATTANOOGA, TN
ZIP 37409-269
Phone: (423) 802-6943
Fax: (888) 508-6829

The provider's authorized official is Laura Susan Sikes .
The authorized official title is Office Manager/therapist and has the following contact phone number (423) 802-6943.

The enumeration date for this NPI number is 8/27/2013 and was last updated on 12/6/2021.

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
1	101YP2500X	Counselor	Professional	2864	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	12087518	OTHER	TENNESSEE	CAQH PROVIDER ID
2	1669636742	OTHER	TENNESSEE	NPI INDIVIDUAL NUMBER

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: 11/14/2023

NPI Synchronization or Removal

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