SearchIdaho175T00000X

Michael Richardson

NPI 1477336923 · on the registry since 2023

Practice

Address
824 17th Ave S Ste 5
Nampa, ID 83651
Phone
(208) 901-9274
Organisation at this address
Reendeavor, Llc
Lilac Counseling, Llc
The Divine Lengths Llc
Evolving Minds Mental Health
Transformed Mind And Body Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
175T00000X
175T00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-08-17

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 Idaho