Provider Demographics
NPI:1821486382
Name:RICHARDS, ALYSSA (LMHC)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 OFFNER RD
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-1639
Mailing Address - Country:US
Mailing Address - Phone:509-956-9545
Mailing Address - Fax:
Practice Address - Street 1:424 OFFNER RD
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-1639
Practice Address - Country:US
Practice Address - Phone:509-956-9545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-06
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60494227101YM0800X
WALH60582911101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health