MRS. MARILYN LOUISE RIDDICK
NPI 1225552011
Counselor - Mental Health in Las Vegas, NV

Active since August 02, 2017
2301 N DECATUR BLVD, LAS VEGAS, NV 89108(702) 790-2933 Get Directions Write a Review

NPPES record last updated: August 2, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Marilyn Louise Riddick NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARILYN LOUISE RIDDICK (NPI 1225552011) is an individual mental health provider in Las Vegas, Nevada, licensed in Nevada (XXXXXXXXXXX) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1225552011
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. MARILYN LOUISE RIDDICK
Location Address2301 N DECATUR BLVDLas Vegas, NV 89108-2955
Mailing Address3816 Fuselier DrNorth Las Vegas, NV 89032-3003
Sole ProprietorYes
Enumeration DateAugust 2, 2017
NPI 1225552011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NV · XXXXXXXXXXX
2301 N DECATUR BLVD, Las Vegas, NV 89108

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
2301 N DECATUR BLVD
LAS VEGAS, NV 89108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marilyn Riddick's NPI number?

The NPI number for Marilyn Riddick is 1225552011. It was assigned to this individual provider in the NPPES registry on August 2, 2017.

Where is Marilyn Riddick located?

Marilyn Riddick practices at 2301 N Decatur Blvd, Las Vegas, NV 89108. The listed phone number is (702) 790-2933.

What is Marilyn Riddick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Marilyn Riddick was last updated on August 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.