Provider Demographics
NPI:1922834662
Name:RICHARDS, TERRY HARTLEY (NBC-HWC)
Entity type:Individual
Prefix:
First Name:TERRY
Middle Name:HARTLEY
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:438 UNION HILL CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:WRIGHTSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31096-4738
Mailing Address - Country:US
Mailing Address - Phone:478-353-7680
Mailing Address - Fax:
Practice Address - Street 1:438 UNION HILL CHURCH RD
Practice Address - Street 2:
Practice Address - City:WRIGHTSVILLE
Practice Address - State:GA
Practice Address - Zip Code:31096-4738
Practice Address - Country:US
Practice Address - Phone:478-353-7680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAA-3858898171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach