Healthcare Provider Details

I. General information

NPI: 1831521145
Provider Name (Legal Business Name): DR NANCY M RIVAS PC FLOURISHING LIVES COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2013
Last Update Date: 09/02/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1805 N MILL ST STE L
NAPERVILLE IL
60563-4860
US

IV. Provider business mailing address

1805 N MILL ST
NAPERVILLE IL
60563-1275
US

V. Phone/Fax

Practice location:
  • Phone: 630-881-6604
  • Fax:
Mailing address:
  • Phone: 313-229-3123
  • Fax: 331-226-0780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number071006321
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. NANCY M RIVAS
Title or Position: PRESIDENT
Credential: PHD
Phone: 331-229-3123