Healthcare Provider Details

I. General information

NPI: 1457278939
Provider Name (Legal Business Name): RIVERS EDGE BEHAVIORAL HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2026
Last Update Date: 07/04/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29551 GREENFIELD RD
SOUTHFIELD MI
48076-2249
US

IV. Provider business mailing address

23684 BOLAM AVE
WARREN MI
48089-4420
US

V. Phone/Fax

Practice location:
  • Phone: 248-406-6682
  • Fax:
Mailing address:
  • Phone: 313-624-6144
  • Fax: 313-624-6144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MR. DEONDRA MORRIS SR.
Title or Position: CEO
Credential: LMSW-C
Phone: 313-624-6144