Healthcare Provider Details

I. General information

NPI: 1346997228
Provider Name (Legal Business Name): AMBER RICHARDSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2022
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 DOWNTOWNER LOOP W STE H160
MOBILE AL
36609-5528
US

IV. Provider business mailing address

750 DOWNTOWNER LOOP W STE H160
MOBILE AL
36609-5528
US

V. Phone/Fax

Practice location:
  • Phone: 334-521-2643
  • Fax: 334-802-8005
Mailing address:
  • Phone: 334-521-2643
  • Fax: 334-802-8005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: