Healthcare Provider Details

I. General information

NPI: 1700531845
Provider Name (Legal Business Name): HEATHER S RICHARDS PHD. LMFT. CST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2022
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4118 NW 24TH TER
CAPE CORAL FL
33993-3411
US

IV. Provider business mailing address

4118 NW 24TH TER
CAPE CORAL FL
33993-3411
US

V. Phone/Fax

Practice location:
  • Phone: 215-929-5272
  • Fax:
Mailing address:
  • Phone: 215-929-5272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMF001251
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number37FI00211
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMT3907
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: