Provider Demographics
NPI:1699574731
Name:RICHIE PRYOR PSYCHOTHERAPY, LLC.
Entity type:Organization
Organization Name:RICHIE PRYOR PSYCHOTHERAPY, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:PRYOR
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:508-591-0141
Mailing Address - Street 1:110 CAPE COD AVE
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-1204
Mailing Address - Country:US
Mailing Address - Phone:781-426-5442
Mailing Address - Fax:
Practice Address - Street 1:8 SAMOSET ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-4561
Practice Address - Country:US
Practice Address - Phone:508-591-4014
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty