# VIVARIA COUNSELING, PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326649542
- **Authorized official:** ERIN R RIEDEL LCSW (OWNER)
- **Authorized official phone:** (502) 272-4950

## Contact information

- **Practice address:** 1169 EASTERN PKWY STE 1159, LOUISVILLE, KY 40217-1462
- **Practice address phone:** (502) 272-4950
- **Mailing address:** 3602 KAHLERT AVE, LOUISVILLE, KY 40215-1815
- **Mailing address phone:** (502) 418-9312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 11/04/2020
- **Last updated:** 09/06/2023