Healthcare Provider Details

I. General information

NPI: 1528791035
Provider Name (Legal Business Name): MOLLY RICHARDS LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2022
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2295 COBURG RD STE 200
EUGENE OR
97401-7489
US

IV. Provider business mailing address

1011 HARLOW RD STE 201
SPRINGFIELD OR
97477-1187
US

V. Phone/Fax

Practice location:
  • Phone: 541-600-2300
  • Fax:
Mailing address:
  • Phone: 541-600-2300
  • Fax: 541-600-2324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberR7800
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberC9045
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: