Richardson, Ivanna M

Richardson, Ivanna M is an individual health care provider with primary practice located at 12970 W Bluemound Rd #105, Elm Grove WI 53122. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Richardson, Ivanna M can be contacted via phone (262) 787-2907.

Contact Information

Primary practice address
12970 W Bluemound Rd #105 Elm Grove WI 53122
Phone: (262) 787-2907
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 1685125 Wisconsin
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 493124 Wisconsin

Profile Details

NPI number 1003904947
LBN Legal business name Richardson, Ivanna M
Credentials EDD LMFT LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Sep 11th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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