Bruce Walter Richardson in Conyers - Mental Health
Bruce Walter Richardson - NPI 1467514471
Bruce Walter Richardson is a Mental Health in Conyers, Georgia. Bruce Walter Richardson practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Bruce Walter Richardson is 1467514471. The last update date is 2007-07-08.
Bruce Walter Richardson's current location address is 977 Taylor St Sw # A, Conyers, Georgia. You can contact this provider via phone number 7707855910. The mailing address for Bruce Walter Richardson is 977 Taylor St Sw # A, Conyers, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Walter Richardson |
|---|---|
| Address | 977 Taylor St Sw # A, Conyers, Georgia |
| Phone Number | 7707855910 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1467514471 |
|---|---|
| Provider Enumeration Date | 2006-12-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 977 Taylor St Sw # A |
|---|---|
| City | Conyers |
| State | Georgia (GA) |
| Post Code | 300125357 |
| Phone Number | 7707855910 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique 10-digit identifier code assigned to Bruce Walter Richardson by the Centers for Medicare & Medicaid Services?
The Bruce Walter Richardson has been issued the NPI (National Provider Identifier) 1467514471 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Bruce Walter Richardson located?
The Bruce Walter Richardson is located at 977 Taylor St Sw # A, Conyers, GA 300125357.
What is the Bruce Walter Richardson's specialty and taxonomy code?
The Bruce Walter Richardson's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
On what date was the 1467514471 assigned to Bruce Walter Richardson?
The Bruce Walter Richardson was issued its 1467514471 on 2006-12-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Bruce Walter Richardson most recently updated?
The details pertaining to the Bruce Walter Richardson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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