Provider Demographics
NPI:1437361987
Name:RICHKER, PERRY (MED, LPC, LCDC)
Entity Type:Individual
Prefix:MR
First Name:PERRY
Middle Name:
Last Name:RICHKER
Suffix:
Gender:M
Credentials:MED, LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9639 HILLCROFT AVE.
Mailing Address - Street 2:# 888
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-3805
Mailing Address - Country:US
Mailing Address - Phone:281-221-9992
Mailing Address - Fax:281-884-6004
Practice Address - Street 1:9639 HILLCROFT AVE.
Practice Address - Street 2:# 888
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-3805
Practice Address - Country:US
Practice Address - Phone:281-221-9992
Practice Address - Fax:281-884-6004
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-05
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9948101YA0400X
TX61252101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)