Healthcare Provider Details

I. General information

NPI: 1194395657
Provider Name (Legal Business Name): CHRISTINE RICHARDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2021
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 ZACHARY LN
ATTLEBORO MA
02703-6856
US

IV. Provider business mailing address

PO BOX 3024
ATTLEBORO MA
02703-0906
US

V. Phone/Fax

Practice location:
  • Phone: 508-454-7770
  • Fax:
Mailing address:
  • Phone: 508-454-7770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE RICHARDS STEWART
Title or Position: PROVIDER
Credential: LICSW
Phone: 508-454-7770