Provider Demographics
NPI:1891210134
Name:TOBIAS COUNSELING
Entity Type:Organization
Organization Name:TOBIAS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:TOBIAS
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, MSCP
Authorized Official - Phone:601-672-8053
Mailing Address - Street 1:499 KEYWOOD CIR STE A
Mailing Address - Street 2:
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-3001
Mailing Address - Country:US
Mailing Address - Phone:601-397-0070
Mailing Address - Fax:601-397-0252
Practice Address - Street 1:499 KEYWOOD CIR STE A
Practice Address - Street 2:
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-3001
Practice Address - Country:US
Practice Address - Phone:601-397-0070
Practice Address - Fax:601-397-0252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-08
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1601101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty