Provider Demographics
NPI:1861718009
Name:RIFE, MONA (LCSW)
Entity type:Individual
Prefix:
First Name:MONA
Middle Name:
Last Name:RIFE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1035 BELLEVUE AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HEIGHTS
Mailing Address - State:MO
Mailing Address - Zip Code:63117-1846
Mailing Address - Country:US
Mailing Address - Phone:314-768-8230
Mailing Address - Fax:
Practice Address - Street 1:1035 BELLEVUE AVE STE 205
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63117-1846
Practice Address - Country:US
Practice Address - Phone:314-384-9321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-13
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical