Provider Demographics
NPI:1982496030
Name:RIVERS, MARQUIA NICOLE (LMHC)
Entity type:Individual
Prefix:
First Name:MARQUIA
Middle Name:NICOLE
Last Name:RIVERS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:MARQUIA
Other - Middle Name:NICOLE
Other - Last Name:WESTBROOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MARQUIA WESTBROOK
Mailing Address - Street 1:273 CHARWOOD CIRCLE
Mailing Address - Street 2:APT B
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14609
Mailing Address - Country:US
Mailing Address - Phone:585-770-0052
Mailing Address - Fax:
Practice Address - Street 1:273 CHARWOOD CIRCLE
Practice Address - Street 2:APT B
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14609
Practice Address - Country:US
Practice Address - Phone:585-770-0052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012648-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty