| Dominica M. Rivera Llc | |
|
7216 Us Highway 301 N St. 104/105 Ellenton FL 34222-3462 | |
| (941) 479-2320 | |
| Not Available |
| Full Name | Dominica M. Rivera Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7216 Us Highway 301 N, Ellenton, Florida |
| Authorized Official Name and Position | Dominica M Rivera (LMHC) |
| Authorized Official Contact | 9414792320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dominica M. Rivera Llc 7216 Us Highway 301 N St. 104/105 Ellenton FL 34222-3462 Ph: (941) 479-2320 | Dominica M. Rivera Llc 7216 Us Highway 301 N St. 104/105 Ellenton FL 34222-3462 Ph: (941) 479-2320 |
| NPI Number | 1851822308 |
|---|---|
| Provider Enumeration Date | 03/27/2017 |
| Last Update Date | 03/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851822308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH13846 (Florida) | Primary |
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