Provider Demographics
NPI:1649759457
Name:AUSTIN, RYLEIGH FOLLIN
Entity Type:Individual
Prefix:MRS
First Name:RYLEIGH
Middle Name:FOLLIN
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:RYLEIGH
Other - Middle Name:ANN
Other - Last Name:FOLLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2100 E CHAMBERS DR
Mailing Address - Street 2:
Mailing Address - City:BOONEVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38829-8938
Mailing Address - Country:US
Mailing Address - Phone:662-728-3137
Mailing Address - Fax:
Practice Address - Street 1:2100 E CHAMBERS DR
Practice Address - Street 2:
Practice Address - City:BOONEVILLE
Practice Address - State:MS
Practice Address - Zip Code:38829-8938
Practice Address - Country:US
Practice Address - Phone:662-728-3137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-13
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool