Provider Demographics
NPI:1851015838
Name:MASSEY, RYLEE (MS, LMLP)
Entity Type:Individual
Prefix:
First Name:RYLEE
Middle Name:
Last Name:MASSEY
Suffix:
Gender:F
Credentials:MS, LMLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 SALE BARN RD
Mailing Address - Street 2:
Mailing Address - City:CEDAR VALE
Mailing Address - State:KS
Mailing Address - Zip Code:67024-9063
Mailing Address - Country:US
Mailing Address - Phone:918-935-8902
Mailing Address - Fax:
Practice Address - Street 1:614 CEDAR ST
Practice Address - Street 2:
Practice Address - City:CEDAR VALE
Practice Address - State:KS
Practice Address - Zip Code:67024-9704
Practice Address - Country:US
Practice Address - Phone:918-935-8902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS03161103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling