Provider Demographics
NPI:1922401173
Name:RICHARDS, LIZIAH (LMHC)
Entity Type:Individual
Prefix:
First Name:LIZIAH
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 1:1120 N 92ND ST APT B
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-2201
Mailing Address - Country:US
Mailing Address - Phone:206-240-8054
Mailing Address - Fax:
Practice Address - Street 1:1120 N 92ND ST APT B
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-2201
Practice Address - Country:US
Practice Address - Phone:206-240-8054
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-02
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60591194101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health