Kimble L Richardson in Indianapolis - Mental Health

Kimble L Richardson - NPI 1073598629

Kimble L Richardson is a Mental Health in Indianapolis, Indiana. Kimble L Richardson practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Kimble L Richardson is 1073598629. The last update date is 2014-03-12.

Kimble L Richardson's current location address is 6626 E 75th Street, Indianapolis, Indiana. You can contact this provider via phone number 3176217561 and fax number 3173556096. The mailing address for Kimble L Richardson is 6626 E 75th Street, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Kimble L Richardson
Address 6626 E 75th Street, Indianapolis, Indiana
Phone Number 3176217561
Fax Number 3173556096
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1073598629
Provider Enumeration Date 2005-12-07
Last Updated Date 2014-03-12

Provider Mailing Address Detail

Address 6626 E 75th Street
City Indianapolis
State Indiana (IN)
Post Code 462502890
Phone Number 3176217561
Fax Number 3173556096

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No 39000004A
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

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FAQs about Kimble L Richardson

What is the unique identifier code issued to Kimble L Richardson by the Centers for Medicare & Medicaid Services (CMS)?

The Kimble L Richardson has been assigned the NPI (National Provider Identifier) 1073598629. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Kimble L Richardson is physically located?

The Kimble L Richardson is situated at the following address: 6626 E 75Th Street, Indianapolis, IN 462502890.

What is the Kimble L Richardson's specialty and taxonomy code?

The Kimble L Richardson's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.

On what date was the 1073598629 assigned to Kimble L Richardson?

The Kimble L Richardson was issued its 1073598629 on 2005-12-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Kimble L Richardson last refreshed?

The information related to the Kimble L Richardson, including its address, specialty, and other relevant details, was last updated on 2014-03-12.

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