Provider Demographics
NPI:1932857554
Name:BURNHAM, RICHLYN EVE (HEALTH COACH)
Entity Type:Individual
Prefix:MS
First Name:RICHLYN
Middle Name:EVE
Last Name:BURNHAM
Suffix:
Gender:F
Credentials:HEALTH COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3222
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-3191
Mailing Address - Country:US
Mailing Address - Phone:908-468-6474
Mailing Address - Fax:
Practice Address - Street 1:200 MOUNT PLEASANT AVE APT E8
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-4035
Practice Address - Country:US
Practice Address - Phone:908-468-6474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-13
Last Update Date:2022-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator