Provider Demographics
NPI:1245020205
Name:RILEY, MEGAN (MED, LPC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:RILEY
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 EMMETT ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-3126
Mailing Address - Country:US
Mailing Address - Phone:406-579-7318
Mailing Address - Fax:
Practice Address - Street 1:221 BRIDGE ST FL 2
Practice Address - Street 2:
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-3449
Practice Address - Country:US
Practice Address - Phone:267-980-0760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC018599101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional