Healthcare Provider Details

I. General information

NPI: 1447712575
Provider Name (Legal Business Name): RICHER SOIL COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2019
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

164 MAIN ST
BOYLSTON MA
01505-1928
US

IV. Provider business mailing address

55 MILL RD
BOYLSTON MA
01505-2012
US

V. Phone/Fax

Practice location:
  • Phone: 508-928-7555
  • Fax:
Mailing address:
  • Phone: 508-579-0612
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KERRY LAVALLEE
Title or Position: PRACTICE OWNER
Credential:
Phone: 508-928-7555