Provider Demographics
NPI:1598193203
Name:RILEY, ASHLEY (MS, CI)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:
Last Name:RILEY
Suffix:
Gender:F
Credentials:MS, CI
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:TENILLE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3400 KENT AVE
Mailing Address - Street 2:B307
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-3951
Mailing Address - Country:US
Mailing Address - Phone:504-319-8028
Mailing Address - Fax:
Practice Address - Street 1:1125 N TONTI ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-3549
Practice Address - Country:US
Practice Address - Phone:504-821-9211
Practice Address - Fax:504-371-5029
Is Sole Proprietor?:No
Enumeration Date:2013-10-16
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5149101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)