Rivers of Life Counseling Service, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW000460 Issued in GA

Legal business name

RIVERS OF LIFE COUNSELING SERVICE, LLC

Practice address

2772 Ga Highway 257
Dublin, GA 31021-0702

Phone

(478) 278-2633

NPI assigned

Jun 19, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Felisha Servette Brown, LCSWNPI 1740349588

Title

Owner

Phone

(478) 278-2633

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Felisha Brown, LCSW

  • Clinical Social Worker
  • Dublin, GA
  • NPI 1740349588
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1619230141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "879 BLARNEY CT",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310210793",
            "telephone_number": "478-278-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2772 GA HIGHWAY 257",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310210702",
            "telephone_number": "478-278-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERS OF LIFE COUNSELING SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "FELISHA",
        "authorized_official_middle_name": "SERVETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-278-2633",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW000460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexia Neighbors Richardson, NURSE MANAGER
• Jeremy H Richter, MD
• Siedah Ricks, COTA/L
• Heather Ridgway
• Right Guidance Counseling and Consulting
• Destiny Roberson
• Sandra Elaine Robertson, LPN
• Raynell Robinson, RBT
• Marla L Roche, BS, LCSW, BCD
• Candice T Rogers, RN NP

• Clinical Social Worker in Dublin, GA
• Providers in Dublin, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.