Provider Demographics
NPI:1093372559
Name:RICHARDSON, EMILEA (LMFT)
Entity Type:Individual
Prefix:
First Name:EMILEA
Middle Name:
Last Name:RICHARDSON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 JULESKING CT
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29609-6026
Mailing Address - Country:US
Mailing Address - Phone:630-597-8397
Mailing Address - Fax:
Practice Address - Street 1:810 ABBERLY TRL
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29651-6354
Practice Address - Country:US
Practice Address - Phone:828-668-2671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-21
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7108106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist