Provider Demographics
NPI:1518082924
Name:RIVERS, RHONDA (PHD)
Entity Type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:
Last Name:RIVERS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3330 CUMBERLAND BLVD SE STE 175
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-6065
Mailing Address - Country:US
Mailing Address - Phone:470-590-5895
Mailing Address - Fax:
Practice Address - Street 1:3330 CUMBERLAND BLVD SE STE 175
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-6065
Practice Address - Country:US
Practice Address - Phone:470-590-5895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2423103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling