Provider Demographics
NPI:1295405637
Name:HUTCHINS, RICHARD (LMFT)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:HUTCHINS
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2112 NORTH ROAN ST.
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-2548
Mailing Address - Country:US
Mailing Address - Phone:423-426-1526
Mailing Address - Fax:
Practice Address - Street 1:2112 NORTH ROAN ST.
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-2548
Practice Address - Country:US
Practice Address - Phone:423-426-1526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-16
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1510106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty