Provider Demographics
NPI:1942845870
Name:CAROLYN MOTTOR-RIVERA COUNSELING
Entity Type:Organization
Organization Name:CAROLYN MOTTOR-RIVERA COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:ARDIS
Authorized Official - Last Name:MOTTOR-RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC,CAADC
Authorized Official - Phone:717-690-2770
Mailing Address - Street 1:313 W LIBERTY ST STE 111
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-2766
Mailing Address - Country:US
Mailing Address - Phone:717-690-2770
Mailing Address - Fax:717-869-4731
Practice Address - Street 1:313 W LIBERTY ST STE 111
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-2766
Practice Address - Country:US
Practice Address - Phone:717-690-2770
Practice Address - Fax:717-860-4731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-14
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty