Healthcare Provider Details

I. General information

NPI: 1477321065
Provider Name (Legal Business Name): RILEY MILLS MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2023
Last Update Date: 12/13/2023
Certification Date: 12/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22717 SE 29TH ST STE D-101
SAMMAMISH WA
98075-9532
US

IV. Provider business mailing address

75 NW DOGWOOD ST STE B
ISSAQUAH WA
98027-3258
US

V. Phone/Fax

Practice location:
  • Phone: 425-269-3277
  • Fax:
Mailing address:
  • Phone: 425-269-3277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: