River Rise, LLC

NPI #1730572462 in Mableton, Georgia

Provider Information

NPI Number: 1730572462
Entity Type: Organization
Organization Name: River Rise, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Mar 4, 2015
Last Updated: Mar 4, 2015

Practice Location

Address: 5701 MABLETON PKWY SW
Address 2: SUITE 411
City: Mableton
State: Georgia
ZIP Code: 30126-3395
Phone: (678) 687-9350

Authorized Official

Name: RHONDA ELAINE STURDIVANT, LCSW
Title: SOLE MEMBER
Phone: (678) 687-9350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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