Provider Demographics
NPI:1639838303
Name:RICHARDS, HEATHER IRENE (MS, NCC)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:IRENE
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:MS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 TWIN HILLS RD
Mailing Address - Street 2:
Mailing Address - City:GRINDSTONE
Mailing Address - State:PA
Mailing Address - Zip Code:15442-1149
Mailing Address - Country:US
Mailing Address - Phone:724-322-0674
Mailing Address - Fax:
Practice Address - Street 1:311 TWIN HILLS RD
Practice Address - Street 2:
Practice Address - City:GRINDSTONE
Practice Address - State:PA
Practice Address - Zip Code:15442-1149
Practice Address - Country:US
Practice Address - Phone:724-322-0674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-10
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health