Provider Demographics
NPI:1730633512
Name:RICHARDS COUNSELING SERVICES
Entity type:Organization
Organization Name:RICHARDS COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:E
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:802-770-8263
Mailing Address - Street 1:PO BOX 56
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05702-0056
Mailing Address - Country:US
Mailing Address - Phone:802-770-8263
Mailing Address - Fax:802-773-2496
Practice Address - Street 1:24 WALES ST
Practice Address - Street 2:SUITE 8
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-4042
Practice Address - Country:US
Practice Address - Phone:802-770-8263
Practice Address - Fax:802-773-2496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-09
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068.0055057101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty