| Riley Individual, Family, And Marriage Counseling Llc | |
|
406 W South Jordan Pkwy Suite 220b South Jordan UT 84095-3965 | |
| (801) 657-0163 | |
| (801) 568-7856 |
| Full Name | Riley Individual, Family, And Marriage Counseling Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 406 W South Jordan Pkwy, South Jordan, Utah |
| Authorized Official Name and Position | Lisa M. Bird (OFFICE MANAGER) |
| Authorized Official Contact | 8016570163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riley Individual, Family, And Marriage Counseling Llc Po Box 708458 Sandy UT 84070-8458 Ph: (801) 657-0163 | Riley Individual, Family, And Marriage Counseling Llc 406 W South Jordan Pkwy Suite 220b South Jordan UT 84095-3965 Ph: (801) 657-0163 |
| NPI Number | 1760716658 |
|---|---|
| Provider Enumeration Date | 09/24/2009 |
| Last Update Date | 09/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760716658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4788890-3501 (Utah) | Primary |
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