Larry Richardson, PH.D., LMHC

NPI 1174537369 · on the registry since 2006 · sole proprietor

Practice

Address: 5379 Lenox Ave
Jacksonville, FL 32205
Phone: (904) 378-9955
Fax: (904) 378-9922
Organisation at this address: Sankofa Behavioral Health Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida