Provider Demographics
NPI:1528317401
Name:RIORDAN COUNSELING INC.
Entity type:Organization
Organization Name:RIORDAN COUNSELING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:RIORDAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:863-382-8778
Mailing Address - Street 1:2305 ARBUCKLE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33870-6888
Mailing Address - Country:US
Mailing Address - Phone:863-382-8778
Mailing Address - Fax:863-382-7128
Practice Address - Street 1:107 N FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-3122
Practice Address - Country:US
Practice Address - Phone:863-382-8778
Practice Address - Fax:863-382-7128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-06
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH0432251S00000X
FLCAP 1158251S00000X
FLMT 0201106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty