Provider Demographics
NPI:1447140553
Name:NORTH RIVER PSYCHOTHERAPY
Entity type:Organization
Organization Name:NORTH RIVER PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:HUDSON
Authorized Official - Middle Name:
Authorized Official - Last Name:CARROL
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:646-450-1646
Mailing Address - Street 1:30 N GOULD ST # 51476
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801-6317
Mailing Address - Country:US
Mailing Address - Phone:646-450-1646
Mailing Address - Fax:
Practice Address - Street 1:30 N GOULD ST # 51476
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801-6317
Practice Address - Country:US
Practice Address - Phone:646-450-1646
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty