Individual
DICY RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4256 MADERA DR, SHREVEPORT, LA 71119-7723
(318) 200-5338
Mailing address
4256 MADERA DR, SHREVEPORT, LA 71119-7723
(318) 200-5338
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/19/2015
Last updated
07/21/2026
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