| Riverfront Counseling Llc | |
|
102 S Harrison St Davenport IA 52801-1811 | |
| (563) 324-3200 | |
| (563) 324-3210 |
| Full Name | Riverfront Counseling Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 102 S Harrison St, Davenport, Iowa |
| Authorized Official Name and Position | Jan Porter (TREASURER) |
| Authorized Official Contact | 5633243200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverfront Counseling Llc Po Box 85 Davenport IA 52805-0085 Ph: (563) 324-3200 | Riverfront Counseling Llc 102 S Harrison St Davenport IA 52801-1811 Ph: (563) 324-3200 |
| NPI Number | 1235330663 |
|---|---|
| Provider Enumeration Date | 05/31/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235330663 | NPI | - | NPPES |
| 0760793 | Medicaid | IA | |
| 0743716 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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