Organization
TRACY RILEY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY M RILEY (OWNER)
(904) 704-2527
Entity
Organization
Contact information
Practice address
3410 KORI RD, JACKSONVILLE, FL 32257-5454
(904) 704-2527
(866) 384-3669
Mailing address
3545 SAINT JOHNS BLUFF RD S UNIT 1-252, JACKSONVILLE, FL 32224-2682
(904) 704-2527
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/06/2015
Last updated
12/04/2024
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