Individual provider · Type 1 NPI
Mayra Richards, LPC
Mental Health Counselor · Atlanta, GA
NPI number
1043841109
Active
Practice location
523 Gresham Avenue SE
Atlanta, GA 30316-3031
Mailing address
138 W Lake Ave NW
Atlanta, GA 30314-1857
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 011379 (GA) |
Mental Health Counselor: Definition to come...
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About NPI 1043841109
Mayra Richards, LPC's National Provider Identifier is 1043841109, issued on Jan 28, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Atlanta, GA. The record was last updated on Jan 28, 2020.