Provider Demographics
NPI:1447939368
Name:RIORDAN, MOLLY JANE (TLMHC)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:JANE
Last Name:RIORDAN
Suffix:
Gender:
Credentials:TLMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1909 MERKLIN WAY
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50310-1037
Mailing Address - Country:US
Mailing Address - Phone:515-783-7784
Mailing Address - Fax:
Practice Address - Street 1:2425 N ANKENY BLVD STE 106
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-4722
Practice Address - Country:US
Practice Address - Phone:515-489-4602
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA117578101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health