Doctor Name: | MR. WILLIAM STUART RILEY |
NPI Number: | 1275744922 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | LPC0001338 |
Business Practice Address: | 137 Prominence Ct Suite 220 Dawsonville, GA - 305348953 |
Business Phone Number: | 7062164735 |
Business Fax Number: | 7062167909 |
Mailing Address: | 195 Oakmont Dr, DAWSONVILLE |
State: | GA |
Postal Code: | 305347731 |
Phone Number: | 7069748755 |
Fax Number: | 7062167909 |
NPI Enumeration Date: | 05/24/2007 |
NPI Last Update Date: | 11/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC0001338 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |