Healthcare Provider Details

I. General information

NPI: 1568385789
Provider Name (Legal Business Name): MRS. DREW A RICHARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1318 ALFORD AVE STE 201
HOOVER AL
35226-3161
US

IV. Provider business mailing address

5401 BALBOA CIR
PINSON AL
35126-3516
US

V. Phone/Fax

Practice location:
  • Phone: 205-730-6818
  • Fax:
Mailing address:
  • Phone: 313-799-5638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberA309
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: