Provider Demographics
NPI:1770041071
Name:RAILEY & ASSOCIATES, LLC
Entity type:Organization
Organization Name:RAILEY & ASSOCIATES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RAILEY
Authorized Official - Suffix:SR
Authorized Official - Credentials:PHD
Authorized Official - Phone:850-508-5285
Mailing Address - Street 1:2236 CAPITAL CIR NE STE 203
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-8304
Mailing Address - Country:US
Mailing Address - Phone:850-727-4757
Mailing Address - Fax:850-765-6298
Practice Address - Street 1:2236 CAPITAL CIR NE STE 203
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-8304
Practice Address - Country:US
Practice Address - Phone:850-727-4757
Practice Address - Fax:850-765-6298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-05
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty