Provider Demographics
NPI:1922420371
Name:RILES, TARHONDA
Entity Type:Individual
Prefix:
First Name:TARHONDA
Middle Name:
Last Name:RILES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6130 W FLAMINGO RD # 336
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-2280
Mailing Address - Country:US
Mailing Address - Phone:310-347-6406
Mailing Address - Fax:
Practice Address - Street 1:6130 W FLAMINGO RD # 336
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-2280
Practice Address - Country:US
Practice Address - Phone:310-347-6406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-18
Last Update Date:2014-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor