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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