Provider Demographics
NPI:1558111757
Name:RIGGS COUNSELING AND NEUROFEEDBACK LLC
Entity type:Organization
Organization Name:RIGGS COUNSELING AND NEUROFEEDBACK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCUS
Authorized Official - Middle Name:LAFAYETTE
Authorized Official - Last Name:RIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:919-345-7168
Mailing Address - Street 1:1702 TODDS LN STE 395
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-3212
Mailing Address - Country:US
Mailing Address - Phone:757-524-1004
Mailing Address - Fax:
Practice Address - Street 1:1702 TODDS LN STE 395
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-3212
Practice Address - Country:US
Practice Address - Phone:757-524-1004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)