Richardson, Carol Elizabeth

Richardson, Carol Elizabeth is an sole proprietor health care provider with primary practice located at 12803 Twinbrook Pkwy Apt 204 , Rockville MD 20851-2446. She recently has 4 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Reflexologist, Other Service Providers / Health Educator, Behavioral Health & Social Service Providers / Pastoral. Behavioral Health & Social Service Providers / Pastoral is her primary health care specialty. Richardson, Carol Elizabeth can be contacted via phone (269) 365-8939.

Contact Information

Primary practice address
12803 Twinbrook Pkwy Apt 204 Rockville MD 20851-2446
Phone: (269) 365-8939
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Reflexologist 173C00000X
Other Service Providers / Health Educator 174H00000X
Behavioral Health & Social Service Providers / Pastoral 101YP1600X

Profile Details

NPI number 1124504253
LBN Legal business name Richardson, Carol Elizabeth
Credentials M.DIV., MPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2018
Last updated Jul 11th, 2018 - about 6 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 1124504253 NPPES
Other EHB205 HOLISTIC SERVICES AGENCY
Other HE304 HOLISTIC SERVICES AGENCY

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