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General NPI Number Information
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NPI Number | 1609756212
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Entity Type | Organization
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Legal Business Name | MICAH RILEY COUNSELING, LLC
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 9724 KINGSTON PIKE STE 603
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City | KNOXVILLE
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State | TN
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Zip | 37922-6900
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Country | US
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Telephone | 865-214-7371
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Fax |
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Provider Business Mailing Address
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Address Line | 9724 KINGSTON PIKE STE 603
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City | KNOXVILLE
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State | TN
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Zip | 37922-6900
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PROFESSIONAL COUNSELOR
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Name | MICAH RILEY
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Credential |
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Telephone | 865-223-4136
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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