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General NPI Number Information
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NPI Number | 1134083363
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Entity Type | Organization
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Legal Business Name | BREE RILEY, LCSW LLC
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 817 BELVOIR CREST DR
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City | CHATTANOOGA
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State | TN
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Zip | 37412-2009
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Country | US
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Telephone | 404-406-4646
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Fax |
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Provider Business Mailing Address
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Address Line | 8735 DUNWOODY PL STE R
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City | ATLANTA
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State | GA
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Zip | 30350-2995
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Country | US
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Telephone | 404-406-4646
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED SIGNATORY
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Name | BREEANNA MARY RILEY
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Credential | LCSW
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Telephone | 404-406-4646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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