Healthcare Provider Details

I. General information

NPI: 1649194465
Provider Name (Legal Business Name): RILEIGH BUCKINGHAM LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RILEIGH MICHELE VANCE

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 GREENWAVE WAY
GREENVILLE OH
45331-2383
US

IV. Provider business mailing address

5735 MEEKER RD
GREENVILLE OH
45331-1186
US

V. Phone/Fax

Practice location:
  • Phone: 937-548-9680
  • Fax:
Mailing address:
  • Phone: 937-548-3806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC.2608301
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: