Healthcare Provider Details

I. General information

NPI: 1871601955
Provider Name (Legal Business Name): TERRY MORCK RICHTER LCSW CGP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2006
Last Update Date: 03/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6823 CYPRESSWOOD DRIVE
SPRING TX
77379-7705
US

IV. Provider business mailing address

6823 CYPRESSWOOD DR
SPRING TX
77379-7705
US

V. Phone/Fax

Practice location:
  • Phone: 281-376-8006
  • Fax: 281-376-8008
Mailing address:
  • Phone: 281-440-9009
  • Fax: 281-376-8008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number17486
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: