Doctor Name: | SARA E. RILEY |
NPI Number: | 1225163884 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSCP, LPC, NCC |
License Number: | NCC223805 |
Business Practice Address: | 2200 N Patterson St Valdosta, GA - 316022597 |
Business Phone Number: | 2292441707 |
Business Fax Number: | 2992441779 |
Mailing Address: | Po Box 2552, VALDOSTA |
State: | GA |
Postal Code: | 316042552 |
Phone Number: | 2295636169 |
Fax Number: | |
NPI Enumeration Date: | 02/23/2007 |
NPI Last Update Date: | 03/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | NCC223805 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |