Provider Demographics
NPI:1073131827
Name:ILISTEN, LLC
Entity Type:Organization
Organization Name:ILISTEN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE & FAMILY THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROZETIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMFT, CTMH
Authorized Official - Phone:912-483-3344
Mailing Address - Street 1:263 WELLSTONE WAY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:GA
Mailing Address - Zip Code:31324-7875
Mailing Address - Country:US
Mailing Address - Phone:912-483-3344
Mailing Address - Fax:757-250-2124
Practice Address - Street 1:263 WELLSTONE WAY
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:GA
Practice Address - Zip Code:31324-7875
Practice Address - Country:US
Practice Address - Phone:912-483-3344
Practice Address - Fax:757-250-2124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-08
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty