MEDICARE: HEATHER MARIE RICHARDS LMFT

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	LMFT-16055	AZ

General Provider Information

NPI Number	:	1073118162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER MARIE RICHARDS LMFT

Provider Business Mailing Address
First Line	:	3486 E SHEFFIELD RD
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85296-7386
Country	:	US
Telephone Number	:	760-579-9446
Fax Number	:

Provider Business Practice Location Address
First Line	:	21321 E OCOTILLO RD STE 132
Second Line	:
City	:	QUEEN CREEK
State	:	AZ
Zip	:	85142-5995
Country	:	US
Telephone Number	:	602-759-0512
Fax Number	:

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

Provider Enumeration Date	:	12/04/2020
Last Update Date	:	12/19/2025

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