Organization
RILEY CONSULTING GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALF WANCHA APRN (OWNER)
(323) 244-0400
Entity
Organization
Contact information
Practice address
1213 LOYALTY LN, WYLIE, TX 75098-1995
(323) 244-0400
Mailing address
1213 LOYALTY LN, WYLIE, TX 75098-1995
(323) 244-0400
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
03/10/2026
Last updated
05/04/2026
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