MR. ANDRE L. RICHARDS SR. (NPI# 1629615323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629615323 |
Entity Type | Individual |
Full Name | MR. ANDRE L. RICHARDS SR. |
Credential | MAC, SAP, CCS, CSAC |
Practice Address |
720 Rodman Ave Portsmouth VA 23707-3118 |
Mailing Address |
757 Spence Cir Virginia Beach VA 23462-4875 |
Practice Telephone | 7577496119 |
Practice Fax Number | 7573939611 |
Mailing Telephone | 7577496119 |
Enumeration Date | 2019-12-02 |
Last Update Date | 2019-12-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
710102796 | VA | Behavioral Health & Social Service Providers |
Street Address |
720 RODMAN AVE |
City | PORTSMOUTH |
State | VA |
Zip Code | 23707-3118 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194905422 | Theodore William Neumann | Counselor | 720 Rodman Ave, Portsmouth, VA 23707-3118 | 2007-11-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508410382 | Ricky Lee Key Sr. | Counselor | Kaleidoscope Counseling and Case Management, 1712 Airline Blvd, Portsmouth, VA 23707 | 2019-07-30 |
1528627965 | Amy M Baker | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f Portsmouth Family Medicine, Portsmouth, VA 23707 | 2019-06-10 |
1033774625 | Himani Bhasin | Student in an Organized Health Care Education/Training Program | 3640 High Street (suite 2f), Evms Family Medicine - Portsmouth Program, Portsmouth, VA 23707 | 2019-05-08 |
1851854442 | Emma Daymond | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f, Portsmouth, VA 23707 | 2019-04-10 |
1407329543 | Heart Harmony Home Health and Services | Home Health | 505 Cumberland Street, Suite 2, Portsmouth, VA 23707 | 2019-01-10 |
1548780869 | A. Richards Counseling & Psychotherapy, LLC | Substance Abuse Rehabilitation Facility | 720 Rodman Ave., Portsmouth, VA 23707 | 2017-06-27 |
1316485196 | Melinda Macy | Occupational Therapy Assistant | 314 Florida Ave, Portsmouth, VA 23707 | 2017-02-01 |
1831526045 | Anointed and Blessed Home Health Care, LLC | Home Health | 806 Loudoun Ave, Portsmouth, VA 23707 | 2013-10-02 |
1639236284 | The Center for Pain Management | Clinic/Center | 3315 High Street, Portsmouth, VA 23707 | 2007-01-02 |
1750444741 | Wal-mart Stores East, Lp | Technician/Technologist | 1098 Fredrick Blvd, Portsmouth, VA 23707 | 2006-12-19 |
Find all providers in zip 23707 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346858305 | Gwendolyn Daniels Slade | Counselor | 9 Canoe Ct, Portsmouth, VA 23703-5380 | 2020-07-16 |
1801410550 | Tequila Marie Estep | Counselor | 1870 Swauger Valley Rd, Portsmouth, OH 45662-9097 | 2020-05-28 |
1477174126 | Hollie Sue Maund | Counselor | 1619 Chillicothe St, Portsmouth, OH 45662-3477 | 2020-05-05 |
1730748260 | Mary Yost | Counselor | 212 Islington St, Portsmouth, NH 03801-4204 | 2019-06-09 |
1871150961 | Southern Hope Recovery Center | Counselor | 4342 Gallia St Ste A, Portsmouth, OH 45662-5563 | 2019-05-23 |
1851878540 | Laura K Lennex | Counselor | 5611 Gallia St, Portsmouth, OH 45662-5520 | 2018-07-25 |
1851880827 | Latiesha Davis Wiggins | Counselor | 355 Crawford St Ste 502, Portsmouth, VA 23704-2822 | 2018-05-06 |
1437667045 | Angela Dyke | Counselor | 1907 11th St, Portsmouth, OH 45662-4531 | 2018-01-17 |
1104338870 | Aryn Brown | Counselor | 1311 2nd St, Portsmouth, OH 45662-4602 | 2017-11-02 |
1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
Find all providers in PORTSMOUTH |
City | PORTSMOUTH |
Zip Code | 23707 |
Please comment or provide details below to improve the information on MR. ANDRE L. RICHARDS SR..
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.