| Organization Name: | RIVERSTONES COUNSELING CENTER, LLC |
| NPI Number: | 1386024024 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHANIE FIESTA (BILLING MANAGER) |
| Mailing Address: | 610 E Crawford Ave Suite B Connellsville |
| State: | PA US |
| Postal Code: | 154252171 |
| Phone Number: | 7246032516 |
| Fax Number: | 7246032514 |
| NPI Enumeration Date: | 06/08/2015 |
| NPI Last Update Date: | 06/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |