Healthcare Provider Details

I. General information

NPI: 1770420739
Provider Name (Legal Business Name): JOHN HARRICHAND LPC, LMHC-D, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 GLENWOOD AVE APT 323
BLOOMFIELD NJ
07003-2964
US

IV. Provider business mailing address

300 GLENWOOD AVE APT 323
BLOOMFIELD NJ
07003-2964
US

V. Phone/Fax

Practice location:
  • Phone: 434-534-2015
  • Fax:
Mailing address:
  • Phone: 434-534-2015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number37PC01178000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: