Provider Demographics
NPI:1285042499
Name:RIVES, EMILY (LMFT)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:RIVES
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:HAWKES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT-A
Mailing Address - Street 1:4555 OGBURN AVE
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27105-2726
Mailing Address - Country:US
Mailing Address - Phone:336-703-4273
Mailing Address - Fax:
Practice Address - Street 1:4555 OGBURN AVE
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27105-2726
Practice Address - Country:US
Practice Address - Phone:336-703-4273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-31
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1610106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist