| Doctor Name: | TOYA RENEE RICHARDSON |
| NPI Number: | 1003102906 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CACI |
| License Number: | 1005201 |
| Business Practice Address: | 500 N Main St Suit 4 Summerville, SC - 294836439 |
| Business Phone Number: | 8438714790 |
| Business Fax Number: | 8438718579 |
| Mailing Address: | 500 N Main St, Suite 4 SUMMERVILLE |
| State: | SC |
| Postal Code: | 294836439 |
| Phone Number: | 8438714790 |
| Fax Number: | 8438718579 |
| NPI Enumeration Date: | 06/20/2011 |
| NPI Last Update Date: | 06/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1005201 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |