Healthcare Provider Details

I. General information

NPI: 1326733445
Provider Name (Legal Business Name): KAYLA MARIE RILEY LPC, EDS, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2023
Last Update Date: 03/01/2026
Certification Date: 03/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 W ARCH AVE
SEARCY AR
72143-5202
US

IV. Provider business mailing address

405 W ARCH AVE
SEARCY AR
72143-5202
US

V. Phone/Fax

Practice location:
  • Phone: 870-376-2838
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberA2302020
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: