MEDICARE: HEATHER IRENE RICHARDS MS, NCC

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	PC016607	PA
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1639838303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER IRENE RICHARDS MS, NCC

Provider Business Mailing Address
First Line	:	311 TWIN HILLS RD
Second Line	:
City	:	GRINDSTONE
State	:	PA
Zip	:	15442-1149
Country	:	US
Telephone Number	:	724-322-0674
Fax Number	:

Provider Business Practice Location Address
First Line	:	311 TWIN HILLS RD
Second Line	:
City	:	GRINDSTONE
State	:	PA
Zip	:	15442-1149
Country	:	US
Telephone Number	:	724-322-0674
Fax Number	:

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

Provider Enumeration Date	:	12/10/2021
Last Update Date	:	07/28/2025

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