Rivera, Marilyn Elizabeth

Rivera, Marilyn Elizabeth is an individual health care provider with primary practice located at 114 E Crandall Ave , Harrison AR 72601-3628. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Rivera, Marilyn Elizabeth can be contacted via phone (870) 741-8484.

Contact Information

Primary practice address
114 E Crandall Ave Harrison AR 72601-3628
Phone: (870) 741-8484
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X M2576 Arkansas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2576-M Arkansas

Profile Details

NPI number 1811548647
LBN Legal business name Rivera, Marilyn Elizabeth
Credentials MSW, LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2019
Last updated Jul 1st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811548647 NPPES
Arkansas MEDICAID 239447795

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