Healthcare Provider Details

I. General information

NPI: 1639838303
Provider Name (Legal Business Name): HEATHER IRENE RICHARDS MS, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2021
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 TWIN HILLS RD
GRINDSTONE PA
15442-1149
US

IV. Provider business mailing address

311 TWIN HILLS RD
GRINDSTONE PA
15442-1149
US

V. Phone/Fax

Practice location:
  • Phone: 724-322-0674
  • Fax:
Mailing address:
  • Phone: 724-322-0674
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC016607
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: