MEDICARE: REFLECTIVE RIVERS THERAPY & CONSULTING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QM0850X	Adult Mental Health Clinic/Center
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1801622436
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REFLECTIVE RIVERS THERAPY & CONSULTING LLC

Provider Business Mailing Address
First Line	:	7971 RIVIERA BLVD STE 313
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33023-6448
Country	:	US
Telephone Number	:	305-509-9541
Fax Number	:

Provider Business Practice Location Address
First Line	:	7971 RIVIERA BLVD STE 313
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33023-6448
Country	:	US
Telephone Number	:	305-509-9541
Fax Number	:

Authorized Official
Title or Position	:	PRACTITIONER
Name	:	MRS. RENEE RIVERS
Credential	:	LMHC
Telephone Number	:	305-509-9541

Provider Enumeration Date	:	09/10/2024
Last Update Date	:	05/05/2026

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