Healthcare Provider Details

I. General information

NPI: 1548176878
Provider Name (Legal Business Name): SAIRA RICHARDSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 W BROADWAY STE F
COLUMBIA MO
65203-3842
US

IV. Provider business mailing address

8730 W TERRAPIN HILLS RD
COLUMBIA MO
65203-9671
US

V. Phone/Fax

Practice location:
  • Phone: 573-227-2135
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: