Healthcare Provider Details

I. General information

NPI: 1497232094
Provider Name (Legal Business Name): CHERESE RICHARDS MHS,LBS,C-FSD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2018
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

932 W LANCASTER AVE APT 3
BRYN MAWR PA
19010-2696
US

IV. Provider business mailing address

932 W LANCASTER AVE
BRYN MAWR PA
19010-2696
US

V. Phone/Fax

Practice location:
  • Phone: 610-729-4643
  • Fax:
Mailing address:
  • Phone: 610-729-4643
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: