Healthcare Provider Details

I. General information

NPI: 1174412639
Provider Name (Legal Business Name): DOREIBY RIKER COTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6833 COIT RD STE 104A
PLANO TX
75024-5400
US

IV. Provider business mailing address

10217 NAPA VALLEY DR
FRISCO TX
75035-8082
US

V. Phone/Fax

Practice location:
  • Phone: 561-985-8009
  • Fax:
Mailing address:
  • Phone: 561-985-8009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number218526
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: