Organization
DOMINICA M. RIVERA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICA M RIVERA LMHC (LMHC)
(941) 479-2320
Entity
Organization
Contact information
Practice address
7216 US HIGHWAY 301 N, ST. 104/105, ELLENTON, FL 34222-3462
(941) 479-2320
Mailing address
7216 US HIGHWAY 301 N, ST. 104/105, ELLENTON, FL 34222-3462
(941) 479-2320
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH13846
FL
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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