Healthcare Provider Details

I. General information

NPI: 1568382646
Provider Name (Legal Business Name): RIVER REGION COUNSELING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 MARKET PL
MONTGOMERY AL
36117-4908
US

IV. Provider business mailing address

2500 EASTERN BLVD BOX 230023
MONTGOMERY AL
36123-0023
US

V. Phone/Fax

Practice location:
  • Phone: 334-315-5893
  • Fax:
Mailing address:
  • Phone: 334-315-5893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. CALVIN SMITH
Title or Position: ASSOCIATE LICENSED COUNSELOR
Credential: PHD, ALC, NCC
Phone: 334-315-4589