Provider Demographics
NPI:1437953171
Name:RICHTER, BENJAMIN ANDREW (LPC, CAADC)
Entity type:Individual
Prefix:MR
First Name:BENJAMIN
Middle Name:ANDREW
Last Name:RICHTER
Suffix:
Gender:M
Credentials:LPC, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 S 11TH ST # 2FR
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19148-3600
Mailing Address - Country:US
Mailing Address - Phone:248-875-2776
Mailing Address - Fax:
Practice Address - Street 1:2401 S 11TH ST # 2FR
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19148-3600
Practice Address - Country:US
Practice Address - Phone:248-875-2776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC017949101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional