Provider Demographics
NPI:1407743057
Name:RICHEY, CARY (COUNSELOR TRAINEE CT)
Entity type:Individual
Prefix:
First Name:CARY
Middle Name:
Last Name:RICHEY
Suffix:
Gender:F
Credentials:COUNSELOR TRAINEE CT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 W SOUTH BOUNDARY ST STE KK
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-1707
Mailing Address - Country:US
Mailing Address - Phone:419-308-2298
Mailing Address - Fax:
Practice Address - Street 1:134 W SOUTH BOUNDARY ST STE KK
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-1707
Practice Address - Country:US
Practice Address - Phone:419-318-9075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.2406424-TRNE101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional