| Doctor Name: | MR. RICHMOND EDWARD CALVIN |
| NPI Number: | 1891864302 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW LMFT LHMC |
| License Number: | 39000585A |
| Business Practice Address: | 108 N Main St Suite 500 South Bend, IN - 46601 |
| Business Phone Number: | 5742461244 |
| Business Fax Number: | 5742461250 |
| Mailing Address: | 330 W Lexington, Suite 206 ELKHART |
| State: | IN |
| Postal Code: | 46516 |
| Phone Number: | 5742935991 |
| Fax Number: | 5742935429 |
| NPI Enumeration Date: | 11/07/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 39000585A |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |