Riley, Mary Kay

Riley, Mary Kay is an sole proprietor health care provider with primary practice located at 189 W Clarkston Rd Bldg B , Lake Orion MI 48362-2892. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Riley, Mary Kay can be contacted via phone (248) 568-6401.

Contact Information

Primary practice address
189 W Clarkston Rd Bldg B Lake Orion MI 48362-2892
Phone: (248) 568-6401
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 6401012077 Michigan

Profile Details

NPI number 1538492335
LBN Legal business name Riley, Mary Kay
Credentials MA, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2009
Last updated Apr 18th, 2022 - about 3 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 1538492335 NPPES
Michigan MEDICAID 1883825

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