Provider Demographics
NPI:1073022547
Name:RICHARDS, ISABELLE
Entity type:Individual
Prefix:
First Name:ISABELLE
Middle Name:
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 BARRYWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37220-1604
Mailing Address - Country:US
Mailing Address - Phone:615-505-4180
Mailing Address - Fax:866-527-1137
Practice Address - Street 1:520 BARRYWOOD DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37220-1604
Practice Address - Country:US
Practice Address - Phone:615-505-4180
Practice Address - Fax:866-527-1137
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-27
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401223574101YP2500X
IL180010934101YP2500X
TN5283101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional