Larry Tyrone Richardson in Jacksonville - Mental Health

Larry Tyrone Richardson - NPI 1174537369

Larry Tyrone Richardson is a Mental Health in Jacksonville, Florida. Larry Tyrone Richardson practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Larry Tyrone Richardson is 1174537369. The last update date is 2007-07-08.

Larry Tyrone Richardson's current location address is Po Box 37206, Jacksonville, Florida. You can contact this provider via phone number 9043789955 and fax number 9043789922. The mailing address for Larry Tyrone Richardson is Po Box 37206, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Larry Tyrone Richardson
Address Po Box 37206, Jacksonville, Florida
Phone Number 9043789955
Fax Number 9043789922
Sole Proprietor Y
Credentials PH.D., LMH

NPI Number Detail

NPI Number 1174537369
Provider Enumeration Date 2006-07-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 37206
City Jacksonville
State Florida (FL)
Post Code 322367206
Phone Number 9043789955
Fax Number 9043789922

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No MH-1773
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

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FAQs about Larry Tyrone Richardson

What is the Larry Tyrone Richardson's unique identification number?

The Larry Tyrone Richardson has been assigned the NPI (National Provider Identifier) Number 1174537369 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Larry Tyrone Richardson's facilities are geographically located?

The facilities of Larry Tyrone Richardson are physically situated at the following location: Po Box 37206, Jacksonville, FL, 322367206.

What is the Larry Tyrone Richardson's area of specialization and corresponding taxonomy classification?

The Larry Tyrone Richardson's specialty field is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1174537369 to Larry Tyrone Richardson?

The Centers for Medicare & Medicaid Services assigned the 1174537369 to Larry Tyrone Richardson on 2006-07-27.

As of what date were the details related to Larry Tyrone Richardson most recently updated or revised?

The information pertaining to Larry Tyrone Richardson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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