Provider Demographics
NPI:1285268490
Name:RIVER & STONE, LLC
Entity type:Organization
Organization Name:RIVER & STONE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:ZACCARDI
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:339-793-0935
Mailing Address - Street 1:34 MILL ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE
Mailing Address - State:MA
Mailing Address - Zip Code:02359-3201
Mailing Address - Country:US
Mailing Address - Phone:339-793-0935
Mailing Address - Fax:
Practice Address - Street 1:133 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-1755
Practice Address - Country:US
Practice Address - Phone:339-793-0935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-26
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty