Provider Demographics
NPI:1366708331
Name:RIGGS, RENISHA RENA
Entity type:Individual
Prefix:MRS
First Name:RENISHA
Middle Name:RENA
Last Name:RIGGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RENISHA
Other - Middle Name:RENA
Other - Last Name:RIGGS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3050 S. NELLIS BLVD
Mailing Address - Street 2:APT.2019
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121
Mailing Address - Country:US
Mailing Address - Phone:702-348-3212
Mailing Address - Fax:
Practice Address - Street 1:3050 S NELLIS BLVD
Practice Address - Street 2:APT.2019
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-7760
Practice Address - Country:US
Practice Address - Phone:702-348-3212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-04
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health