Provider Demographics
NPI:1417598822
Name:RICHIE, ANELA GAIL (LMFT)
Entity type:Individual
Prefix:MS
First Name:ANELA
Middle Name:GAIL
Last Name:RICHIE
Suffix:
Gender:
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22663 BUTTERCUP PL
Mailing Address - Street 2:
Mailing Address - City:CANYON LAKE
Mailing Address - State:CA
Mailing Address - Zip Code:92587-7818
Mailing Address - Country:US
Mailing Address - Phone:951-585-3357
Mailing Address - Fax:855-719-3137
Practice Address - Street 1:31526 RAILROAD CANYON RD STE 5
Practice Address - Street 2:
Practice Address - City:CANYON LAKE
Practice Address - State:CA
Practice Address - Zip Code:92587-9443
Practice Address - Country:US
Practice Address - Phone:951-585-3357
Practice Address - Fax:855-719-3137
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA115341106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist