Shaletha L Richard, | |
1228 Harden St Ste A, Columbia, SC 29204-1800 | |
(803) 722-1565 | |
(803) 888-1771 |
Full Name | Shaletha L Richard |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1228 Harden St Ste A, Columbia, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134522337 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 9433 (South Carolina) | Primary |
101YM0800X | Counselor - Mental Health | J082698428 (Oklahoma) | Secondary |
Entity Name | Eau Claire Cooperative Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346249430 PECOS PAC ID: 3274434220 Enrollment ID: O20040114000335 |
Mailing Address | Practice Location Address |
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Shaletha L Richard, 169 Laurelhurst Ave, Columbia, SC 29210-3825 Ph: (803) 733-5969 | Shaletha L Richard, 1228 Harden St Ste A, Columbia, SC 29204-1800 Ph: (803) 722-1565 |
Dr. Larry Barker, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Cardiff St, Columbia, SC 29209 Phone: 803-447-5585 | |
Mr. Carlton A Andrews Iii, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2611 River Dr, Columbia, SC 29201 Phone: 803-446-4905 Fax: 803-771-6685 | |
Brenda Brooks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3809 Rosewood Dr, Columbia, SC 29205 Phone: 803-786-1844 | |
Y'ticcia Y Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2715 Colonial Dr, Columbia, SC 29203 Phone: 803-898-4777 | |
Ashley Chapman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2711 Colonial Dr, Columbia, SC 29203 Phone: 803-726-9376 Fax: 803-726-9485 | |
Nijoku Odom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2711 Colonial Dr, Columbia, SC 29203 Phone: 803-726-9351 | |
Timothy Goode, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 Village Walk, Columbia, SC 29209 Phone: 417-343-9846 |