# RILEY CENTER FOR EATING DISORDERS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RILEY THERAPY, PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033588173
- **Legal business name:** RILEY THERAPY, PA
- **Authorized official:** MRS. BETH RILEY MSW, LISW-CP, CEDS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (864) 271-0975

## Contact information

- **Practice address:** 12 MAPLE TREE CT, SUITE 101, GREENVILLE, SC 29615-4078
- **Practice address phone:** (864) 271-0975
- **Practice address fax:** (864) 241-9001
- **Mailing address:** 12 MAPLE TREE CT, SUITE 101, GREENVILLE, SC 29615-4078
- **Mailing address phone:** (864) 271-0975
- **Mailing address fax:** (864) 241-9001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |

## Other

- **Enumeration date:** 09/18/2015
- **Last updated:** 09/18/2015
