Organization
VIVARIA COUNSELING, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN R RIEDEL LCSW (OWNER)
(502) 272-4950
Entity
Organization
Contact information
Practice address
1169 EASTERN PKWY STE 1159, LOUISVILLE, KY 40217-1462
(502) 272-4950
Mailing address
3602 KAHLERT AVE, LOUISVILLE, KY 40215-1815
(502) 418-9312
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100363100
—
KY
Enumeration date
11/04/2020
Last updated
09/06/2023
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