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Organization
HEALTHY LIVING FOUNDATION INC
Active
Organization
HEALTHY LIVING FOUNDATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RASHAD QUINT'E RICHARDSON SR. DOCTOR OF SPORT MED (DIRECTOR)
(336) 740-1668
Entity
Organization
Contact information
Practice address
10418 N MAIN ST STE K, ARCHDALE, NC 27263-3282
(336) 740-1668
Mailing address
10418 N MAIN ST STE K, ARCHDALE, NC 27263-3282
(336) 740-1668
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
103TE1100X
Exercise & Sports Psychologist
—
—
171400000X
Health & Wellness Coach
—
—
174H00000X
Health Educator
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
302R00000X
Health Maintenance Organization
—
—
Other
Enumeration date
01/26/2023
Last updated
01/27/2023
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