Shanice Dianne Richardson
Developmental Therapist in Rocky Mount, NC. Individual provider (NPI-1).
NPI number1295572097
StatusActive
Last updated in NPPESJul 24, 2026
Details
- NPI
- 1295572097
- Entity type
- Individual (NPI-1)
- Name
- Shanice Dianne Richardson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 10, 2024
- Certification date
- Jul 24, 2026
- Last updated
- Jul 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Q00000X | Developmental Therapist | – | NC | Yes |
| 104100000X | Social Worker | – | NC |
Practice location
6733 Reedy Branch RdRocky Mount, NC 27803-8427
Phone 252-450-9008
Mailing address
6733 Reedy Branch RdRocky Mount, NC 27803-8427
Phone 252-450-9008
Other practice locations
909 N Parker St
Elm City, NC 27822
Elm City, NC 27822
Phone 252-236-3000
727 N Grace St
Rocky Mount, NC 27804-4842
Rocky Mount, NC 27804-4842
Phone 252-450-9008
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