Healthcare Provider Details

I. General information

NPI: 1417872706
Provider Name (Legal Business Name): RIVERVIEW BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2380 ONEAL LN STE I
BATON ROUGE LA
70816-9315
US

IV. Provider business mailing address

2380 ONEAL LN STE I
BATON ROUGE LA
70816-9315
US

V. Phone/Fax

Practice location:
  • Phone: 225-248-8027
  • Fax: 225-248-8027
Mailing address:
  • Phone: 225-248-8027
  • Fax: 225-248-8027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: S M
Title or Position: ADMINISTRATOR
Credential:
Phone: 225-248-8028