Rivendell Counselors, LLC

NPI #1871308221 in Dacula, Georgia

Provider Information

NPI Number: 1871308221
Entity Type: Organization
Organization Name: Rivendell Counselors, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Feb 12, 2025
Last Updated: Feb 12, 2025

Practice Location

Address: 3617 BRASELTON HWY STE 104
City: Dacula
State: Georgia
ZIP Code: 30019-4667
Phone: (678) 687-1495

Authorized Official

Name: TANYA THOMAS
Title: OWNER
Phone: (678) 687-1495

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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