OrganizationActive
Riverside Therapy LLC
NPI 1568028140 · Mental Health Clinic/Center (Including Community Mental Health Center) · Fairbanks, AK
Provider details
- NPI number
- 1568028140
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Tanner, Owner(907) 987-5088
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
250 Cushman St Ste 4f
Fairbanks, AK 99701-4665
Phone: (907) 987-5088
Approximate (ZIP-level) locationGet directions
Mailing address
250 Cushman St Ste 4f
Fairbanks, AK 99701-4665
Registry dates
- Enumerated
- 2019-05-19
- Last updated
- 2019-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.