Provider Demographics
NPI:1831115534
Name:WARD, RICHARD LEE (MA, LMFT, LPC)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:LEE
Last Name:WARD
Suffix:
Gender:M
Credentials:MA, LMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:942 CROSSBILL ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78418-5009
Mailing Address - Country:US
Mailing Address - Phone:361-937-8711
Mailing Address - Fax:361-937-8770
Practice Address - Street 1:9708 S PADRE ISLAND DR
Practice Address - Street 2:STE A 200
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78418-5100
Practice Address - Country:US
Practice Address - Phone:361-937-8711
Practice Address - Fax:361-937-8770
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8532101Y00000X, 101YM0800X
TX2087106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3663LCOtherBLUE CROSS BLUE SHIELD
TX7236337OtherAETNA