Healthcare Provider Details

I. General information

NPI: 1265354930
Provider Name (Legal Business Name): ABIGAIL RICHARDS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 W HIGHLAND AVE STE 400
MILWAUKEE WI
53203-1114
US

IV. Provider business mailing address

809 E KEEFE AVE
MILWAUKEE WI
53212-1765
US

V. Phone/Fax

Practice location:
  • Phone: 414-554-8019
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8703-125
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: