| Collette Richards Lpc Llc | |
|
4150 W Peoria Ave Ste 133 Phoenix AZ 85029-3954 | |
| (602) 288-8883 | |
| Not Available |
| Full Name | Collette Richards Lpc Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4150 W Peoria Ave Ste 133, Phoenix, Arizona |
| Authorized Official Name and Position | Collette Richards (OWNER) |
| Authorized Official Contact | 6022888883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collette Richards Lpc Llc 4150 W Peoria Ave Ste 133 Phoenix AZ 85029-3954 Ph: (602) 288-8883 | Collette Richards Lpc Llc 4150 W Peoria Ave Ste 133 Phoenix AZ 85029-3954 Ph: (602) 288-8883 |
| NPI Number | 1255856704 |
|---|---|
| Provider Enumeration Date | 08/06/2017 |
| Last Update Date | 08/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255856704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | LPC-16260 (Arizona) | Secondary |
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