MEDICARE: CHRISTINE RICHARDS LLC

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	101YP2500X	Professional Counselor
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1194395657
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTINE RICHARDS LLC

Provider Business Mailing Address
First Line	:	PO BOX 3024
Second Line	:
City	:	ATTLEBORO
State	:	MA
Zip	:	02703-0906
Country	:	US
Telephone Number	:	508-454-7770
Fax Number	:

Provider Business Practice Location Address
First Line	:	124 ZACHARY LN
Second Line	:
City	:	ATTLEBORO
State	:	MA
Zip	:	02703-6856
Country	:	US
Telephone Number	:	508-454-7770
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER
Name	:	CHRISTINE RICHARDS STEWART
Credential	:	LICSW
Telephone Number	:	508-454-7770

Provider Enumeration Date	:	06/28/2021
Last Update Date	:	02/10/2026

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