| River Rise, Llc | |
|
5701 Mableton Pkwy Sw Suite 411 Mableton GA 30126-3395 | |
| (678) 687-9350 | |
| Not Available |
| Full Name | River Rise, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5701 Mableton Pkwy Sw, Mableton, Georgia |
| Authorized Official Name and Position | Rhonda Elaine Sturdivant (SOLE MEMBER) |
| Authorized Official Contact | 6786879350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River Rise, Llc Po Box 781 Mableton GA 30126-0781 Ph: () - | River Rise, Llc 5701 Mableton Pkwy Sw Suite 411 Mableton GA 30126-3395 Ph: (678) 687-9350 |
| NPI Number | 1730572462 |
|---|---|
| Provider Enumeration Date | 03/04/2015 |
| Last Update Date | 03/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730572462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW004852 (Georgia) | Primary |
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