MEDICARE: NATASHIA RICHMOND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	171M00000X	Case Manager/Care Coordinator	NC
2	322D00000X	Emotionally Disturbed Childrens' Residential Treatment Facility	NC
3	175T00000X	Peer Specialist	NC
4	261QD1600X	Developmental Disabilities Clinic/Center	NC
5	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care	NC
6	252Y00000X	Early Intervention Provider Agency	NC
7	251C00000X	Developmentally Disabled Services Day Training Agency	NC
8	101YA0400X	Addiction (Substance Use Disorder) Counselor	NC

General Provider Information

NPI Number	:	1003576505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATASHIA RICHMOND

Provider Business Mailing Address
First Line	:	1101 TARBORO ST
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27801-6071
Country	:	US
Telephone Number	:	347-775-8987
Fax Number	:

Provider Business Practice Location Address
First Line	:	1305 PITT ST
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27801-6959
Country	:	US
Telephone Number	:	252-544-2476
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2021
Last Update Date	:	02/21/2026

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Directions to “ NATASHIA RICHMOND ” Practice Location

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