Healthcare Provider Details

I. General information

NPI: 1023979820
Provider Name (Legal Business Name): ARRONIE T RILEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2025
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2817 30TH AVE N
BIRMINGHAM AL
35207-4541
US

IV. Provider business mailing address

PO BOX 11526
BIRMINGHAM AL
35202-1526
US

V. Phone/Fax

Practice location:
  • Phone: 205-407-5600
  • Fax: 205-224-4171
Mailing address:
  • Phone: 205-407-5600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number5282C
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: