Healthcare Provider Details

I. General information

NPI: 1497462253
Provider Name (Legal Business Name): RILEY COUNSELING AND CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2022
Last Update Date: 11/01/2022
Certification Date: 11/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S 8TH ST
OPELIKA AL
36801-4943
US

IV. Provider business mailing address

5828 US HIGHWAY 29 N
OPELIKA AL
36804-5446
US

V. Phone/Fax

Practice location:
  • Phone: 504-913-9379
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HELGA RILEY
Title or Position: CEO
Credential: MA, LPC
Phone: 504-913-9379