Provider Demographics
NPI:1538641154
Name:PATRICIA D RILEY LLC
Entity Type:Organization
Organization Name:PATRICIA D RILEY LLC
Other - Org Name:A.B.L.E. COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:LSCSW
Authorized Official - Phone:316-631-5477
Mailing Address - Street 1:1900 N AMIDON AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-2137
Mailing Address - Country:US
Mailing Address - Phone:316-631-5477
Mailing Address - Fax:316-932-1556
Practice Address - Street 1:1900 N AMIDON AVE STE 210
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-2137
Practice Address - Country:US
Practice Address - Phone:316-631-5477
Practice Address - Fax:316-932-1556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-30
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty