Individual provider · Type 1 NPI

Lanisha Carmen Rivers

Mental Health Counselor · Lagrange, GA

NPI number 1295295756 Active

Practice location

122 Gordon Commercial Dr
Lagrange, GA 30240-5754

Fax (706) 845-4430

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1295295756

Lanisha Carmen Rivers's National Provider Identifier is 1295295756, issued on Mar 21, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lagrange, GA. The record was last updated on Mar 21, 2019.