Individual provider · Type 1 NPI

Dominique Riley, MS

Mental Health Counselor · Philadelphia, PA

NPI number 1720902604 Active

Practice location

12 N Preston St
Philadelphia, PA 19104-2211

Call (215) 895-5500 Map

Mailing address

111 Elwyn Rd
Media, PA 19063-4622

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1720902604

Dominique Riley, MS's National Provider Identifier is 1720902604, issued on Aug 5, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 5, 2026.