Healthcare Provider Details

I. General information

NPI: 1891163721
Provider Name (Legal Business Name): DEBORAH RICHERT LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2015
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1204 SE LOUIS DR SUITE B
MULVANE KS
67110-1113
US

IV. Provider business mailing address

1613 E SOUTHRIDGE CT
DERBY KS
67037-3939
US

V. Phone/Fax

Practice location:
  • Phone: 316-777-3177
  • Fax:
Mailing address:
  • Phone: 316-305-7275
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number830
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number2743
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: