| Doctor Name: | LADONNA RICHARDSON |
| NPI Number: | 1053777987 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSWA |
| License Number: | P010137 |
| Business Practice Address: | 608 Jackson St Ste F Roanoke Rapids, NC - 278702656 |
| Business Phone Number: | 2523080744 |
| Business Fax Number: | |
| Mailing Address: | 39347 Nc Highway 561, HOLLISTER |
| State: | NC |
| Postal Code: | 278449479 |
| Phone Number: | 2525676553 |
| Fax Number: | |
| NPI Enumeration Date: | 01/07/2016 |
| NPI Last Update Date: | 01/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | P010137 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |