Individual
DEANA RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C., C.P.C.S.
Contact information
Practice address
130 GOVERNORS SQ STE B, PEACHTREE CITY, GA 30269-4862
(770) 713-8023
Mailing address
130 GOVERNORS SQ STE B, PEACHTREE CITY, GA 30269-4862
(770) 451-0404
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002029
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457876906
THE CENTER FOR LIVING BALANCE
GA
01
—
55-0872146
FEDERAL TAX ID
GA
Enumeration date
10/06/2006
Last updated
01/27/2020
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