Provider Demographics
NPI: | 1972217784 |
---|---|
Name: | RICHARDS FAMILY COUNSELING LLC |
Entity type: | Organization |
Organization Name: | RICHARDS FAMILY COUNSELING LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | MENTAL HEALTH THERAPIST, OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | LEAH |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | RICHARDS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | LMHC |
Authorized Official - Phone: | 360-284-0006 |
Mailing Address - Street 1: | 5729 LITTLEROCK RD SW STE 107 |
Mailing Address - Street 2: | |
Mailing Address - City: | TUMWATER |
Mailing Address - State: | WA |
Mailing Address - Zip Code: | 98512-7386 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 360-284-0006 |
Mailing Address - Fax: | 360-284-0012 |
Practice Address - Street 1: | 1426 35TH ST |
Practice Address - Street 2: | SUITE #1 |
Practice Address - City: | EVERETT |
Practice Address - State: | WA |
Practice Address - Zip Code: | 98201 |
Practice Address - Country: | US |
Practice Address - Phone: | 360-284-0006 |
Practice Address - Fax: | 360-284-0012 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2023-01-06 |
Last Update Date: | 2023-03-02 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Single Specialty |