Riley, Deana

Riley, Deana is an sole proprietor health care provider with primary practice located at 130 Governors Sq Ste B , Peachtree City GA 30269-4862. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Riley, Deana can be contacted via phone (770) 713-8023.

Contact Information

Primary practice address
130 Governors Sq Ste B Peachtree City GA 30269-4862
Phone: (770) 713-8023
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 002029 Georgia

Profile Details

NPI number 1811084429
LBN Legal business name Riley, Deana
Credentials L.P.C., C.P.C.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2006
Last updated Jan 27th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811084429 NPPES
Georgia Other 55-0872146 FEDERAL TAX ID
Georgia Other 1457876906 FEDERAL TAX ID

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