MEDICARE: MRS. ELISHA ANN RICHARD LPC-MHSP

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	101YM0800X	Mental Health Counselor	6614	TN

General Provider Information

NPI Number	:	1790565414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELISHA ANN RICHARD LPC-MHSP

Provider Business Mailing Address
First Line	:	916 W CLARK BLVD
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37129-2349
Country	:	US
Telephone Number	:	615-207-7685
Fax Number	:

Provider Business Practice Location Address
First Line	:	417 WELSHWOOD DR STE 303
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37211-4248
Country	:	US
Telephone Number	:	615-207-7685
Fax Number	:

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

Provider Enumeration Date	:	10/02/2023
Last Update Date	:	04/29/2026

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