Provider Demographics
NPI:1922990621
Name:COUNSELING AND FAMILY ENRICHMENT LLC
Entity type:Organization
Organization Name:COUNSELING AND FAMILY ENRICHMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEIDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-A
Authorized Official - Phone:949-282-9667
Mailing Address - Street 1:4408 FOREST DR STE 102
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29206-3162
Mailing Address - Country:US
Mailing Address - Phone:949-282-9667
Mailing Address - Fax:
Practice Address - Street 1:4408 FOREST DR STE 102
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29206-3162
Practice Address - Country:US
Practice Address - Phone:949-282-9667
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health