Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

River of Life Services LLC

Organization Addiction Medicine (Internal Medicine) Physician · NPI 1144400011

River of Life Services LLC is an Addiction Medicine (Internal Medicine) Physician in St Louis Park, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

6200 Excelsior Blvd #202
St Louis Park, MN 55416-2730
Phone: (952) 548-9344
Fax: (952) 548-9344
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Internal Medicine) Physician (primary) Taxonomy 207RA0401X · Licence 45852 (MN)

Record details

NPI number1144400011
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hayden Severin — Addictionology/Asam Certified · (952) 548-9344
Other names River Of Life Services
NPI enumeratedNovember 8, 2007
Last updated in NPPESNovember 8, 2007
Mailing address6200 Excelsior Blvd, 202, St Louis Park, MN 55416-2730

Other providers in St Louis Park