Provider Demographics
NPI:1396053468
Name:RIVER VALLEY COUNSELING CENTER
Entity type:Organization
Organization Name:RIVER VALLEY COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:A
Authorized Official - Last Name:OLIVARES
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:413-532-2120
Mailing Address - Street 1:693 MAIN ST
Mailing Address - Street 2:#9
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-2417
Mailing Address - Country:US
Mailing Address - Phone:413-230-3470
Mailing Address - Fax:
Practice Address - Street 1:693 MAIN ST
Practice Address - Street 2:#9
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-2417
Practice Address - Country:US
Practice Address - Phone:413-230-3470
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-22
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health