Healthcare Provider Details

I. General information

NPI: 1245147867
Provider Name (Legal Business Name): BROOKE RAMSEY RILEY M.E.D., NCC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 ROSWELL ST STE 201
ALPHARETTA GA
30009-2019
US

IV. Provider business mailing address

223 ROSWELL ST STE 201
ALPHARETTA GA
30009-2019
US

V. Phone/Fax

Practice location:
  • Phone: 470-231-5355
  • Fax:
Mailing address:
  • Phone: 470-231-5355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC017203
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: