Provider Demographics
NPI:1770321747
Name:RIVERS, ELBERLENE LATOYA (MA, DOULA)
Entity type:Individual
Prefix:
First Name:ELBERLENE
Middle Name:LATOYA
Last Name:RIVERS
Suffix:
Gender:F
Credentials:MA, DOULA
Other - Prefix:
Other - First Name:LATOYA
Other - Middle Name:
Other - Last Name:RIVERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, DOULA
Mailing Address - Street 1:12698 PANHANDLE RD
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:GA
Mailing Address - Zip Code:30228-2281
Mailing Address - Country:US
Mailing Address - Phone:470-886-5326
Mailing Address - Fax:
Practice Address - Street 1:12698 PANHANDLE RD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:GA
Practice Address - Zip Code:30228-2281
Practice Address - Country:US
Practice Address - Phone:470-886-5326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No172V00000XOther Service ProvidersCommunity Health Worker
No174H00000XOther Service ProvidersHealth Educator
No175F00000XOther Service ProvidersNaturopath
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)