TAEISHA RIVERA


Address: 620 Walnut, Carelton, MI 48117
Phone: 3134146414

TAEISHA RIVERA (NPI# 1568919967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568919967
Entity Type Individual
Full Name TAEISHA RIVERA
Practice Address 620 Walnut
Carelton
MI 48117
Practice Telephone 3134146414
Mailing Telephone 3134146414
Enumeration Date 2016-09-02
Last Update Date 2016-09-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 620 WALNUT
City CARELTON
State MI
Zip Code 48117

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1942726591 Pamela J Brain-manchester Massage Therapist 12975 Matthews, Carleton, MI 48117 2017-08-16
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1295376176 Angel Phillip Zavala Licensed Practical Nurse 7412 Colf Rd, Carleton, MI 48117-9136 2019-10-02
1790177947 Brittainy Barnes Licensed Practical Nurse 12514 Harris St, Carleton, MI 48117-9159 2015-02-25
1275988727 Shaundra Deweese Registered Nurse 14626 Grafton Rd, Carleton, MI 48117-9220 2016-05-03
1235507658 Rebecca Kapolnek Licensed Practical Nurse 12550 Burns Rd, Carleton, MI 48117-9372 2015-09-02
1194876623 Adil Sarosh Chiropractor 1127 Monroe St, Carleton, MI 48117-9382 2007-01-12
1801432638 Family Medical Center of Michigan,inc Clinic/Center 11270 Grafton Rd Rm 215, Carleton, MI 48117-9392 2019-11-27
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1891302717 Paige J Welch Counselor 1509 Diamond Ave Ne, Grand Rapids, MI 49505-5217 2020-09-24
1588277040 Gregory Dean Retzlaff Counselor 2043 Rowe Ave Ne, Grand Rapids, MI 49505-4238 2020-08-25
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1376160168 Scott Thomas Montgomery Counselor 1242 Baywood Cir, Brighton, MI 48116-6761 2020-06-29
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Competitor

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City CARELTON
Zip Code 48117

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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