MEDICARE: RICHARD COUNSELING SERVICES, 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	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1902763980
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICHARD COUNSELING SERVICES, PLLC

Provider Business Mailing Address
First Line	:	2406 PINEHURST RD
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29204-2280
Country	:	US
Telephone Number	:	405-875-2470
Fax Number	:

Provider Business Practice Location Address
First Line	:	1413 CALHOUN ST # 130
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29201-2562
Country	:	US
Telephone Number	:	803-386-7627
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. SHALETHA L RICHARD
Credential	:	LPC
Telephone Number	:	405-875-2470

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	01/09/2026

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