Healthcare Provider Details

I. General information

NPI: 1679484984
Provider Name (Legal Business Name): ANTWAN RICHARDSON
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2565 NICHOLSON DR
SUMTER SC
29153-7544
US

IV. Provider business mailing address

2565 NICHOLSON DR
SUMTER SC
29153-7544
US

V. Phone/Fax

Practice location:
  • Phone: 252-292-6708
  • Fax:
Mailing address:
  • Phone: 252-292-6708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCOU.11184
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: