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Organization
RIVERBEND SERVICES, INC.
Active
Organization
RIVERBEND SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGIE ROUSE BS (OWNER)
(910) 618-9260
Entity
Organization
Contact information
Practice address
6688 NC HIGHWAY 41 N, LUMBERTON, NC 28358-2501
(910) 618-9260
(910) 737-6505
Mailing address
6688 NC HIGHWAY 41 N, LUMBERTON, NC 28358-2501
(910) 618-9260
(910) 737-6505
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NC
101YP2500X
Professional Counselor
—
NC
104100000X
Social Worker
—
NC
1041C0700X
Clinical Social Worker
—
NC
106H00000X
Marriage & Family Therapist
—
NC
251B00000X
Case Management Agency
—
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
MHL-078-166
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3410202
—
NC
05
—
5950227
—
NC
05
—
6006953
—
NC
05
—
6603809
—
NC
05
—
8300790
—
NC
05
—
8702120
—
NC
05
—
8703204
—
NC
Enumeration date
04/11/2011
Last updated
06/24/2013
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