Provider Demographics
NPI:1033569298
Name:RICHARDS, KARISHA DELVON (MA, LPC)
Entity Type:Individual
Prefix:
First Name:KARISHA
Middle Name:DELVON
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:KARISHA
Other - Middle Name:DELVON
Other - Last Name:DAVIS-HOOPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:508 PAT BOOKER RD # 6013
Mailing Address - Street 2:
Mailing Address - City:UNIVERSAL CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78148-4434
Mailing Address - Country:US
Mailing Address - Phone:430-558-1645
Mailing Address - Fax:
Practice Address - Street 1:245 W STATE HWY 114
Practice Address - Street 2:SUITE 200
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092
Practice Address - Country:US
Practice Address - Phone:430-558-1645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-20
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72424101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional