Provider Demographics
NPI:1043825094
Name:RICHES, CHRISTA DEEANNE (LPC-MHSP)
Entity type:Individual
Prefix:
First Name:CHRISTA
Middle Name:DEEANNE
Last Name:RICHES
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:CHRISTA
Other - Middle Name:DEEANNE
Other - Last Name:MALCOLM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC-MHSP
Mailing Address - Street 1:5120 VIRGINIA WAY
Mailing Address - Street 2:PADDOCK II, SUITE C-12
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027
Mailing Address - Country:US
Mailing Address - Phone:615-784-8399
Mailing Address - Fax:
Practice Address - Street 1:5120 VIRGINIA WAY
Practice Address - Street 2:PADOCK II , SUITE C-12
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027
Practice Address - Country:US
Practice Address - Phone:615-212-8614
Practice Address - Fax:931-443-0079
Is Sole Proprietor?:No
Enumeration Date:2020-09-15
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health