Provider Demographics
NPI:1295966646
Name:RICHARDS, KELLEE NICHOLE (LPC)
Entity type:Individual
Prefix:MS
First Name:KELLEE
Middle Name:NICHOLE
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12360 RICHMOND AVE
Mailing Address - Street 2:APARTMENT #1737
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2421
Mailing Address - Country:US
Mailing Address - Phone:832-428-7756
Mailing Address - Fax:
Practice Address - Street 1:12655 WOODFOREST BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-3564
Practice Address - Country:US
Practice Address - Phone:713-453-2300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-03
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61904101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional