Healthcare Provider Details

I. General information

NPI: 1891462040
Provider Name (Legal Business Name): RILEY NICHOLLE ESCOVER MA LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RILEY NICHOLLE HOLLAHAN

II. Dates (important events)

Enumeration Date: 08/25/2021
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28216 DOROTHY DR STE 100
AGOURA HILLS CA
91301-4973
US

IV. Provider business mailing address

28216 DOROTHY DR STE 100
AGOURA HILLS CA
91301-4973
US

V. Phone/Fax

Practice location:
  • Phone: 323-813-3375
  • Fax:
Mailing address:
  • Phone: 323-813-3375
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT152943
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: