Richie, Geoffrey A
Richie, Geoffrey A is an sole proprietor health care provider with primary practice located at 945 11Th Ave Ste B , Longview WA 98632-2555. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Richie, Geoffrey A can be contacted via phone (360) 414-8600.Contact Information
Primary practice address
945 11Th Ave Ste B
Longview WA 98632-2555
Phone: (360) 414-8600
Fax: (360) 636-7372
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LH60620853 | Washington |
Profile Details
| NPI number | 1417293473 |
|---|---|
| LBN Legal business name | Richie, Geoffrey A |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2012 |
| Last updated | Jan 16th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417293473 | NPPES |
| Washington | MEDICAID | 2072665 | |
| Washington | Other | 7646990 |
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