Provider Demographics
NPI:1528697935
Name:RICHARDS, WHITLEY LOUISE (MS, ATR, LPC)
Entity type:Individual
Prefix:MRS
First Name:WHITLEY
Middle Name:LOUISE
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:MS, ATR, LPC
Other - Prefix:MISS
Other - First Name:WHITLEY
Other - Middle Name:
Other - Last Name:ROGERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2528 LAS BRISAS DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-4264
Mailing Address - Country:US
Mailing Address - Phone:757-689-0334
Mailing Address - Fax:
Practice Address - Street 1:2528 LAS BRISAS DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-4264
Practice Address - Country:US
Practice Address - Phone:757-589-6826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-07
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701009021101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional