MRS. AMY MARIE NELSON RIVERA M.S. L.P.C. NPI 1467559013

NPI Information

NPI: 1467559013
Provider Name: MRS. AMY MARIE NELSON RIVERA, M.S., L.P.C.
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
85 GOLF CREST DR
SUITE 309
ACWORTH, GA
ZIP 30101
Phone: (404) 918-0816
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MRS. Amy Marie Nelson Rivera, M.S., L.P.C. is a professional counselor in Acworth, GA. MRS. Amy Marie Nelson Rivera, M.S., L.P.C. NPI is 1467559013. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

85 GOLF CREST DR
SUITE 309
ACWORTH, GA
ZIP 30101-698
Phone: (404) 918-0816
Fax: (404) 601-7495

The enumeration date for this NPI number is 9/17/2006 and was last updated on 1/29/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	LPC004629	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	095860337A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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