Provider Demographics
NPI:1174305239
Name:RILEY, HELEN IRENE (LPC)
Entity type:Individual
Prefix:MS
First Name:HELEN
Middle Name:IRENE
Last Name:RILEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 GRIESHOP ST APT 205
Mailing Address - Street 2:
Mailing Address - City:MOUNT ORAB
Mailing Address - State:OH
Mailing Address - Zip Code:45154-0260
Mailing Address - Country:US
Mailing Address - Phone:937-789-9694
Mailing Address - Fax:
Practice Address - Street 1:4050 EXECUTIVE PARK DR STE 100
Practice Address - Street 2:
Practice Address - City:SHARONVILLE
Practice Address - State:OH
Practice Address - Zip Code:45241-2020
Practice Address - Country:US
Practice Address - Phone:513-427-6844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-13
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.2305603101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor