Healthcare Provider Details

I. General information

NPI: 1699242875
Provider Name (Legal Business Name): ERIN MICHELLE RICHARDSON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2018
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 TECHNOLOGY CT SE
SMYRNA GA
30082-5237
US

IV. Provider business mailing address

1202 TOWN PARK LN STE 300
EVANS GA
30809-3477
US

V. Phone/Fax

Practice location:
  • Phone: 770-431-2354
  • Fax: 770-436-7143
Mailing address:
  • Phone: 706-210-8855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number00111629
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC007156
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: