Richardson, Tina Kay

Richardson, Tina Kay is an sole proprietor health care provider with primary practice located at 1395 Missouri Ave , Las Cruces NM 88001. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Richardson, Tina Kay can be contacted via phone (505) 522-5466.

Contact Information

Primary practice address
1395 Missouri Ave Las Cruces NM 88001
Fax: (505) 521-8611
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 006139 New Mexico

Profile Details

NPI number 1144295353
LBN Legal business name Richardson, Tina Kay
Credentials LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2006
Last updated Nov 7th, 2016 - about 10 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1144295353 NPPES
New Mexico MEDICAID NM102271

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