MR. BRUCE WALTER RICHARDSON
NPI 1467514471
Counselor - Mental Health in Conyers, GA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since December 15, 2006

977 TAYLOR ST SW # A, CONYERS, GA 30012(770) 785-5910 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mr. Bruce Walter Richardson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BRUCE WALTER RICHARDSON (NPI 1467514471) is an individual mental health provider in Conyers, Georgia and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1467514471

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. BRUCE WALTER RICHARDSON

Location Address977 TAYLOR ST SW # AConyers, GA 30012-5357

Mailing Address4705 Treehills PkwyStone Mountain, GA 30088-3053

Phone(770) 785-5910

Sole ProprietorYes

Enumeration DateDecember 15, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1467514471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

977 TAYLOR ST SW # A, Conyers, GA 30012

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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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