Provider Demographics
NPI:1255144358
Name:RIVERS HEALTH & FAMILY SERVICES LLC
Entity type:Organization
Organization Name:RIVERS HEALTH & FAMILY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAMELLE
Authorized Official - Middle Name:N
Authorized Official - Last Name:MASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-272-5294
Mailing Address - Street 1:2101 EXECUTIVE DR STE 370
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-2404
Mailing Address - Country:US
Mailing Address - Phone:757-272-5294
Mailing Address - Fax:
Practice Address - Street 1:2101 EXECUTIVE DR STE 370
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-2404
Practice Address - Country:US
Practice Address - Phone:757-272-5294
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health