Riverside Psychotherapy, Pllc

LBN: Riverside Psychotherapy, Pllc
Riverside Psychotherapy, Pllc is an health care organization with primary practice located at 3914 Saint Elmo Ave Ste C , Chattanooga TN 37409-1269. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Riverside Psychotherapy, Pllc can be contacted via phone (423) 802-6943, or through Sikes, Laura Susan via phone (423) 802-6943.

Contact Information

Primary practice address
3914 Saint Elmo Ave Ste C Chattanooga TN 37409-1269
Phone: (423) 802-6943
Fax: (888) 508-6829
Website:
Map and Directions
Authorized official contact:
Name: Sikes, Laura Susan MA, LPC-MHSP
Phone: (423) 802-6943

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2864 Tennessee

Profile Details

NPI number 1477987394
LBN Legal business name Riverside Psychotherapy, Pllc
DBA Doing business as
Authorized official Sikes, Laura Susan MA, LPC-MHSP
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2013
Last updated Dec 6th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477987394 NPPES
Tennessee Other 12087518 CAQH PROVIDER ID
Tennessee Other 1669636742 CAQH PROVIDER ID

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