Provider Demographics
NPI:1962173526
Name:RIVER COVE COUNSELING LLC
Entity type:Organization
Organization Name:RIVER COVE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:TOUSLEY
Authorized Official - Last Name:MOYNIHAN
Authorized Official - Suffix:
Authorized Official - Credentials:LADC-I
Authorized Official - Phone:978-529-2740
Mailing Address - Street 1:100 CUMMINGS CTR STE 428J
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-6122
Mailing Address - Country:US
Mailing Address - Phone:617-584-5779
Mailing Address - Fax:
Practice Address - Street 1:100 CUMMINGS CTR STE 428J
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-6122
Practice Address - Country:US
Practice Address - Phone:617-584-5779
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-23
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health