MEDICARE: RIVERVIEW SUNRISE COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1083562888
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIVERVIEW SUNRISE COUNSELING LLC

Provider Business Mailing Address
First Line	:	4704 FOREST HILL AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-3138
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4704 FOREST HILL AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-3138
Country	:	US
Telephone Number	:	804-366-7829
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CARRIE SMITH
Credential	:
Telephone Number	:	804-366-7829

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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