Provider Demographics
NPI:1477011609
Name:TOOLEY, RICHARD ERIC (MA, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:ERIC
Last Name:TOOLEY
Suffix:
Gender:M
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1523 VISTA BEND DR
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-5301
Mailing Address - Country:US
Mailing Address - Phone:972-342-0753
Mailing Address - Fax:
Practice Address - Street 1:6401 ELDORADO PKWY STE 115
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-6147
Practice Address - Country:US
Practice Address - Phone:972-439-5731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-06
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76944101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional