MEDICARE: DAVIALLY ALEXANDRA FRANS-RILEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LPC9317	LA
2	106H00000X	Marriage & Family Therapist	MFT1480	LA

General Provider Information

NPI Number	:	1497453302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVIALLY ALEXANDRA FRANS-RILEY

Provider Business Mailing Address
First Line	:	711 E ASCENSION ST # 979
Second Line	:
City	:	GONZALES
State	:	LA
Zip	:	70737-3028
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 S FOSTER DR BLDG C
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-7238
Country	:	US
Telephone Number	:	225-251-9057
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2023
Last Update Date	:	12/22/2025

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