Provider Demographics
NPI:1700760014
Name:RICHARDSON, EMILY (CMHC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:RICHARDSON
Suffix:
Gender:F
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6839 BUFFLEHEAD DR
Mailing Address - Street 2:
Mailing Address - City:PARK CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84098-5403
Mailing Address - Country:US
Mailing Address - Phone:719-332-1466
Mailing Address - Fax:
Practice Address - Street 1:6839 BUFFLEHEAD DR
Practice Address - Street 2:
Practice Address - City:PARK CITY
Practice Address - State:UT
Practice Address - Zip Code:84098-5403
Practice Address - Country:US
Practice Address - Phone:719-332-1466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13944821-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health