Provider Demographics
NPI:1285342550
Name:NIAHLL, RIVER-AAERIN ANATINUS (LMFT)
Entity type:Individual
Prefix:
First Name:RIVER-AAERIN
Middle Name:ANATINUS
Last Name:NIAHLL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 781
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14207-0781
Mailing Address - Country:US
Mailing Address - Phone:716-785-2441
Mailing Address - Fax:
Practice Address - Street 1:654 HERTEL AVE APT D
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14207-2351
Practice Address - Country:US
Practice Address - Phone:716-785-2441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-07
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
NY002359106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor