Provider Demographics
NPI:1497232094
Name:RICHARDS, CHERESE (MHS,LBS,C-FSD)
Entity type:Individual
Prefix:
First Name:CHERESE
Middle Name:
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:MHS,LBS,C-FSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:932 W LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-2696
Mailing Address - Country:US
Mailing Address - Phone:610-729-4643
Mailing Address - Fax:
Practice Address - Street 1:932 W LANCASTER AVE APT 3
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-2696
Practice Address - Country:US
Practice Address - Phone:610-729-4643
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-26
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional