Provider Demographics
NPI:1386024024
Name:RIVERSTONES COUNSELING CENTER, LLC
Entity Type:Organization
Organization Name:RIVERSTONES COUNSELING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FIESTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-603-2516
Mailing Address - Street 1:610 E CRAWFORD AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:CONNELLSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15425-2171
Mailing Address - Country:US
Mailing Address - Phone:724-603-2516
Mailing Address - Fax:724-603-2514
Practice Address - Street 1:610 E CRAWFORD AVE
Practice Address - Street 2:SUITE B
Practice Address - City:CONNELLSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15425-2171
Practice Address - Country:US
Practice Address - Phone:724-603-2516
Practice Address - Fax:724-603-2514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-08
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty