Individual
SHELLY RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1916 MONT HALL RD, HALLSVILLE, TX 75650-4424
(903) 452-3454
Mailing address
1916 MONT HALL RD, HALLSVILLE, TX 75650-4424
(903) 452-3454
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
18292
TX
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
TX
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
18292
TX
Other
Enumeration date
07/03/2024
Last updated
05/20/2025
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