Mr Clarence Riley Jr, - Counselor in Lake Mary, FL

Mr Clarence Riley Jr, is a Counselor - Mental Health based in Lake Mary, Florida. Mr Clarence Riley Jr is licensed to practice in Florida (license number 12600) and his current practice location is 892 W Charing Cross Cir, Lake Mary, Florida. He can be reached at his office (for appointments etc.) via phone at (340) 513-9178.

NPI number for Mr Clarence Riley Jr is 1235539529 and his current mailing address is 892 W Charing Cross Cir, Lake Mary, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235539529.

Contact Information

Mr Clarence Riley Jr,
892 W Charing Cross Cir,
Lake Mary, FL 32746-6426
(340) 513-9178
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Clarence Riley Jr
GenderMale
SpecialityCounselor - Mental Health
Location892 W Charing Cross Cir, Lake Mary, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1235539529
  • Provider Enumeration Date: 08/25/2014
  • Last Update Date: 02/25/2015

Medical Identifiers

Medical identifiers for Mr Clarence Riley Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235539529NPI-NPPES
12260OtherFLFLORIDA DEPARTMENT OF HEALTH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 12600 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Clarence Riley Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Clarence Riley Jr,
892 W Charing Cross Cir,
Lake Mary, FL 32746-6426

Ph: (340) 513-9178
Mr Clarence Riley Jr,
892 W Charing Cross Cir,
Lake Mary, FL 32746-6426

Ph: (340) 513-9178

Reviews and Comments


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