| Suzanne Riley Counseling, Llc | |
|
1917 W Faidley Ave Grand Island NE 68803-4642 | |
| (308) 398-0350 | |
| (308) 398-0351 |
| Full Name | Suzanne Riley Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1917 W Faidley Ave, Grand Island, Nebraska |
| Authorized Official Name and Position | Suzanne E Riley (OWNER) |
| Authorized Official Contact | 3083980350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suzanne Riley Counseling, Llc 1917 W Faidley Ave Grand Island NE 68803-4642 Ph: (308) 398-0350 | Suzanne Riley Counseling, Llc 1917 W Faidley Ave Grand Island NE 68803-4642 Ph: (308) 398-0350 |
| NPI Number | 1841712445 |
|---|---|
| Provider Enumeration Date | 07/14/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 5597116806 |
|---|---|
| Medicare Enrollment ID | O20240111001830 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841712445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1149 (Nebraska) | Secondary |
| 101YM0800X | Counselor - Mental Health | 1784 (Nebraska) | Primary |
| Provider Name | Suzanne Elizabeth Riley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225372121 PECOS PAC ID: 6406207711 Enrollment ID: I20240111001942 |
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