Shelly Richardson, is a
Clinic/center - Adolescent And Children Mental Health based in Hallsville, Texas. Shelly Richardson is licensed to practice in Texas (license number 18292) and her current practice location is
1916 Mont Hall Rd, Hallsville, Texas. She can be reached at her office (for appointments etc.) via phone at
(903) 452-3454.
NPI number for Shelly Richardson is 1891531315 and her current mailing address is 1916 Mont Hall Rd, Hallsville, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891531315.
Healthcare Provider's Profile
| Full Name | Shelly Richardson |
|---|
| Gender | Female |
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| Speciality | Clinic/center - Adolescent And Children Mental Health |
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| Location | 1916 Mont Hall Rd, Hallsville, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1891531315
- Provider Enumeration Date: 07/03/2024
- Last Update Date: 05/20/2025
Medical Identifiers
Medical identifiers for Shelly Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891531315 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 18292 (Texas) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Texas) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 18292 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shelly Richardson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shelly Richardson,
1916 Mont Hall Rd,
Hallsville, TX 75650-4424
Ph: (903) 452-3454 | Shelly Richardson,
1916 Mont Hall Rd,
Hallsville, TX 75650-4424
Ph: (903) 452-3454 |
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