Tracy Riley Counseling Llc

LBN: Tracy Riley Counseling Llc
Tracy Riley Counseling Llc is an health care organization with primary practice located at 10151 Deerwood Park Blvd Ste 200-250 , Jacksonville FL 32256. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Tracy Riley Counseling Llc can be contacted via phone (904) 704-2527, or through Riley, Tracy M via phone (904) 704-2527.

Contact Information

Primary practice address
10151 Deerwood Park Blvd Ste 200-250 Jacksonville FL 32256
Phone: (904) 704-2527
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Riley, Tracy M Licensed Clinical Social Worker (LCSW)
Phone: (904) 704-2527

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 5716 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW9355 Florida
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X ME0045122 Florida
Agencies / Community/Behavioral Health 251S00000X Florida

Profile Details

NPI number 1902239270
LBN Legal business name Tracy Riley Counseling Llc
DBA Doing business as
Authorized official Riley, Tracy M Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2013
Last updated Aug 10th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902239270 NPPES
Florida MEDICAID 008697300

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