Provider Demographics
NPI:1750687943
Name:RICHARDS, LATRICE FRANCIS (LPC-S, CLC)
Entity Type:Individual
Prefix:
First Name:LATRICE
Middle Name:FRANCIS
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:LPC-S, CLC
Other - Prefix:
Other - First Name:LATRICE
Other - Middle Name:FRANCIS
Other - Last Name:SAMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2700 SOMERSET DR APT 318
Mailing Address - Street 2:
Mailing Address - City:LAUDERDALE LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33311-9474
Mailing Address - Country:US
Mailing Address - Phone:504-729-7012
Mailing Address - Fax:
Practice Address - Street 1:2700 SOMERSET DR APT 318
Practice Address - Street 2:
Practice Address - City:LAUDERDALE LAKES
Practice Address - State:FL
Practice Address - Zip Code:33311
Practice Address - Country:US
Practice Address - Phone:504-729-7012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-04
Last Update Date:2019-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4346101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional