Healthcare Provider Details

I. General information

NPI: 1245155266
Provider Name (Legal Business Name): RIVER RECOVERY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1726 TEHAMA ST
REDDING CA
96001-1615
US

IV. Provider business mailing address

1726 TEHAMA ST
REDDING CA
96001-1615
US

V. Phone/Fax

Practice location:
  • Phone: 530-953-8766
  • Fax: 530-203-7444
Mailing address:
  • Phone: 530-953-8766
  • Fax: 530-203-7444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY ANN MCKINNEY TIGHE
Title or Position: PROGRAM DIRECTOR
Credential: LMFT
Phone: 530-953-8766