| Tracy Riley Counseling Llc | |
|
3410 Kori Rd Jacksonville FL 32257-5454 | |
| (904) 704-2527 | |
| (866) 384-3669 |
| Full Name | Tracy Riley Counseling Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3410 Kori Rd, Jacksonville, Florida |
| Authorized Official Name and Position | Tracy M Riley (OWNER) |
| Authorized Official Contact | 9047042527 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Riley Counseling Llc 3545 Saint Johns Bluff Rd S Unit 1-252 Jacksonville FL 32224-2682 Ph: (904) 704-2527 | Tracy Riley Counseling Llc 3410 Kori Rd Jacksonville FL 32257-5454 Ph: (904) 704-2527 |
| NPI Number | 1306234950 |
|---|---|
| Provider Enumeration Date | 01/06/2015 |
| Last Update Date | 12/04/2024 |
| Certification Date | 12/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306234950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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