Provider Demographics
NPI:1164243036
Name:OTHER POSSIBILITIES LLC
Entity type:Organization
Organization Name:OTHER POSSIBILITIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RIVER-AAERIN
Authorized Official - Middle Name:ANATINUS
Authorized Official - Last Name:NIAHLL
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:716-785-2441
Mailing Address - Street 1:PO BOX 781
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14207-0781
Mailing Address - Country:US
Mailing Address - Phone:716-785-2441
Mailing Address - Fax:
Practice Address - Street 1:654 HERTEL AVE APT D
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14207-2351
Practice Address - Country:US
Practice Address - Phone:716-785-2441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty