Provider Demographics
NPI:1831803097
Name:RIVERA, BIANCA YVETTE (LMHC)
Entity type:Individual
Prefix:
First Name:BIANCA
Middle Name:YVETTE
Last Name:RIVERA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 NOTT TER
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12307-1000
Mailing Address - Country:US
Mailing Address - Phone:518-709-1935
Mailing Address - Fax:518-709-1942
Practice Address - Street 1:650 FRANKLIN ST STE 201
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12305-2168
Practice Address - Country:US
Practice Address - Phone:518-709-1935
Practice Address - Fax:518-709-1942
Is Sole Proprietor?:No
Enumeration Date:2023-01-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012762101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health