Individual
MS. PATRICE D. RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHR/MRC
Contact information
Practice address
448 36TH AVE NW STE 101, NORMAN, OK 73072-4743
(888) 573-7792
Mailing address
4528 S SHERIDAN RD STE 113, 4528 S. SHERIDAN RD, STE 113, TULSA OK 74145, TULSA, OK 74145-1101
(918) 282-5363
(918) 282-5363
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
21448
OK
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
—
—
251B00000X
Case Management Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245549567
OKLAHOMA HEALTH CARE AUTHORITY
OK
01
—
200242130A
OHCA SOONERCARE PROVIDER
OK
Enumeration date
04/16/2008
Last updated
01/22/2024
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