RIVERSIDE COUNSELING AND PERSONAL DEVELOPMENT, LLC – NPI #1174267553
Clinic/Center

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

Health Care Provider Taxonomy Code for Clinic/Center

RIVERSIDE COUNSELING AND PERSONAL DEVELOPMENT, LLC is an AHC clinic located in KENNESAW, GA. NPPES has assigned the NPI number 1174267553 to RIVERSIDE COUNSELING AND PERSONAL DEVELOPMENT, LLC on April 22, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0850X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Mental Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RIVERSIDE COUNSELING AND PERSONAL DEVELOPMENT, LLC below.

NPI Profile for
RIVERSIDE COUNSELING AND PERSONAL DEVELOPMENT, LLC

NPI Number
1174267553
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RIVERSIDE COUNSELING AND PERSONAL DEVELOPMENT, LLC
Primary location
2774 COBB PARKWAY NW
STE 109 - 454
KENNESAW, GA 30152
Phone: (678) 860-9766 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANNIKA RUSSAW
CEO
Phone: (678) 860-9766
Updated
Certification Date
Apr 22, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0850X
- Clinic/Center / Adult Mental Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
SECURE EMAIL
Content Type
CSV
Affiliation
N
Endpoint Location
2774 COBB PARKWAY NW,
KENNESAW, GA 77025-1669