MEDICARE: ANNA RICHTER THERAPY PLLC

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number	:	1366259830
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANNA RICHTER THERAPY PLLC

Provider Business Mailing Address
First Line	:	3403 38TH AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98126-2220
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3403 38TH AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98126-2220
Country	:	US
Telephone Number	:	206-451-7025
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANNA RICHTER
Credential	:	LICSW
Telephone Number	:	206-451-7025

Provider Enumeration Date	:	12/17/2024
Last Update Date	:	12/17/2024

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