Individual
WILLIAM TOBIAS RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-S
Contact information
Practice address
499 KEYWOOD CIR STE A, FLOWOOD, MS 39232-3001
(601) 397-0070
(601) 397-0252
Mailing address
499 KEYWOOD CIR STE A, FLOWOOD, MS 39232-3001
(601) 397-0070
(601) 397-0252
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1601
MS
101YP2500X
Professional Counselor
1601
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02721069
—
MS
Enumeration date
02/07/2014
Last updated
02/17/2022
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