Nikisha Eronda Richardson | Seattle, WA • PECOS Search

Nikisha Eronda Richardson

Counselor

Behavioral Health & Social Service Providers

1700 Airport Way S, Seattle, WA 98134-1618

(206) 223-3644 (206) 257-9604

PECOS Enrollment

Based on the most recent information from CMS, provider Nikisha Eronda Richardson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1245849702
Provider Type
Individual
Full Name
Richardson, Nikisha Eronda
Gender
Female

Sole Proprietor
No
Enumeration Date
7/30/2020
Last Updated
7/30/2020

Contact Information

Practice Location

1700 Airport Way S, Seattle, WA 98134-1618

Unlisted Fax

Mailing Location

118 16th Ave, Seattle, WA 98122-5611

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101Y00000X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer