Healthcare Provider Details

I. General information

NPI: 1124658752
Provider Name (Legal Business Name): RICHERT COUNSELING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2020
Last Update Date: 11/29/2020
Certification Date: 11/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1589 MAIN ST STE A
DUNEDIN FL
34698-4653
US

IV. Provider business mailing address

1016 VINEYARD CT
DUNEDIN FL
34698-6321
US

V. Phone/Fax

Practice location:
  • Phone: 727-203-4987
  • Fax: 727-205-4492
Mailing address:
  • Phone: 727-202-4987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RICHARD A RICHERT
Title or Position: OWNER
Credential: LMHC
Phone: 727-203-4987