Healthcare Provider Details

I. General information

NPI: 1043825094
Provider Name (Legal Business Name): CHRISTA D RICHES LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTA DEEANNE MALCOLM LPC-MHSP

II. Dates (important events)

Enumeration Date: 09/15/2020
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1947 MEDICAL AVE
HARRISONBURG VA
22801-3437
US

IV. Provider business mailing address

PO BOX 749112
ATLANTA GA
30374-9112
US

V. Phone/Fax

Practice location:
  • Phone: 540-434-3004
  • Fax: 540-434-3659
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0701015668
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701015668
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: