Provider Demographics
NPI:1720565062
Name:RED RIVER ASSESSMENTS AND THERAPY LLC
Entity type:Organization
Organization Name:RED RIVER ASSESSMENTS AND THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:LILLY
Authorized Official - Last Name:SUTHERLAND
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:719-358-1721
Mailing Address - Street 1:6575 WEST LOOP S STE 500
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3509
Mailing Address - Country:US
Mailing Address - Phone:800-706-5845
Mailing Address - Fax:800-706-5849
Practice Address - Street 1:6575 WEST LOOP S STE 500
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-3509
Practice Address - Country:US
Practice Address - Phone:800-706-5845
Practice Address - Fax:800-706-5849
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE EMPOWERMENT COMPANY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-07-19
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty