Individual provider · Type 1 NPI
Phylis B. Richard, LPC
Professional Counselor · Thibodaux, LA
NPI number
1700208147
Active
Practice location
102 W 5th St
Thibodaux, LA 70301-3120
Fax (985) 413-5137
Mailing address
316 Brandywine Blvd
Thibodaux, LA 70301-6157
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 3678 (LA) |
Professional Counselor: Definition to come...
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About NPI 1700208147
Phylis B. Richard, LPC's National Provider Identifier is 1700208147, issued on Jan 18, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Thibodaux, LA. The record was last updated on Aug 19, 2015.