Healthcare Provider Details

I. General information

NPI: 1073118162
Provider Name (Legal Business Name): HEATHER MARIE RICHARDS LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/04/2020
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21321 E OCOTILLO RD STE 132
QUEEN CREEK AZ
85142-5995
US

IV. Provider business mailing address

3486 E SHEFFIELD RD
GILBERT AZ
85296-7386
US

V. Phone/Fax

Practice location:
  • Phone: 602-759-0512
  • Fax:
Mailing address:
  • Phone: 760-579-9446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT-16055
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: