# RIVERS PSYCHIATRIC SERVICES LLC

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

## Provider details

- **NPI number:** 1790176832
- **Authorized official:** MRS. KIMBERLY B RIVERS APRN, PMHNP-BC (PSYCHIATRIC MENTAL HEALTH NP)
- **Authorized official phone:** (318) 419-3592

## Contact information

- **Practice address:** 5920 COLISEUM BLVD, ALEXANDRIA, LA 71303-3714
- **Practice address phone:** (318) 443-9339
- **Practice address fax:** (318) 443-9116
- **Mailing address:** 5920 COLISEUM BLVD, ALEXANDRIA, LA 71303-3714
- **Mailing address phone:** (318) 443-9339
- **Mailing address fax:** (318) 443-9116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP08178 | LA | Yes |

## Other

- **Enumeration date:** 02/11/2015
- **Last updated:** 02/11/2015