Provider Demographics
NPI:1326879388
Name:RIVERS, ERICA SHOSHANA (LMFT)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:SHOSHANA
Last Name:RIVERS
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 1:1409 WILLOW ST STE 400
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55403-3251
Mailing Address - Country:US
Mailing Address - Phone:612-964-3646
Mailing Address - Fax:
Practice Address - Street 1:1409 WILLOW ST STE 400
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55403-3251
Practice Address - Country:US
Practice Address - Phone:612-964-3646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist