Provider Demographics
NPI:1629592910
Name:RIGGS, DVONNA S (LPC)
Entity Type:Individual
Prefix:
First Name:DVONNA
Middle Name:S
Last Name:RIGGS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26322 W 110TH TER
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-8413
Mailing Address - Country:US
Mailing Address - Phone:1913-461-3458
Mailing Address - Fax:
Practice Address - Street 1:4831 W 136TH ST STE E
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66224-5924
Practice Address - Country:US
Practice Address - Phone:913-583-3458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-28
Last Update Date:2017-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3054101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health