Basic Information
| Provider Information | |||||||||
| NPI: | 1932785060 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RIVERA-BITNER | ||||||||
| FirstName: | FAITH | ||||||||
| MiddleName: | LYNN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5001 ROCKSIDE RD | ||||||||
| Address2: | |||||||||
| City: | INDEPENDENCE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441312172 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2162184929 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5001 ROCKSIDE RD | ||||||||
| Address2: | |||||||||
| City: | INDEPENDENCE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441312172 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2169864000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/19/2021 | ||||||||
| LastUpdateDate: | 08/11/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/11/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | C.2204339 | OH | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health | 390200000X | C.2002952-TRNE | OH | N | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.