Organization
POSITIVE SOBRIETY INSTITUTE, LLC
Active
Organization
POSITIVE SOBRIETY INSTITUTE, LLC
Active
Parent organization
RIVERMEND HEALTH, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERMEND HEALTH, LLC
Authorized official
TYEAST REYNOLDS (DIRECTOR OF RCM)
(678) 813-0428
Entity
Organization
Contact information
Practice address
680 N LAKE SHORE DR, SUITE 800, CHICAGO, IL 60611-4546
(312) 642-7230
(312) 642-7055
Mailing address
2300 WINDY RIDGE PARKWAY, SUITE 210S, ATLANTA, GA 30339
(470) 440-1647
(312) 642-7055
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
A-8526-001-A
IL
Other
Enumeration date
09/26/2014
Last updated
04/11/2019
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