Clyde A Richardson is a Grand Rapids, Michigan based counselor who is specialized as Addiction (Substance Use Disorder) Counselor. Active license number of Clyde A Richardson is 6802067415 for Addiction (Substance Use Disorder) Counselor in Michigan. His current practice location is 3210 Eagle Run Dr, Suite 200, Grand Rapids. Patients can book an appointment with him at 616-957-1200.
Clyde A Richardson is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. He helps his clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Clyde A Richardson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Clyde A Richardson
Specialization:
Addiction (Substance Use Disorder) Counselor
Gender:
Male
Credentials:
M DIV CAC-R
Accepts Medicare Assignment:
No
Practice Address:
3210 Eagle Run Dr, Suite 200, Grand Rapids, Michigan, 49525
Phone:
616-957-1200
Fax:
616-957-1297
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1275709826
NPI Enumeration Date:
05 May, 2008
NPI Last Update On:
26 Jun, 2009
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Clyde A Richardson are as mentioned below.
License Number
Specialization
State
Status
6802067415
Addiction (Substance Use Disorder) Counselor
Michigan
Primary
6802067415
Mental Health Counselor
Michigan
Secondary
6802067415
Pastoral Counselor
Michigan
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Clyde A Richardson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
NONE
Other
NONE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3210 Eagle Run Dr, Suite 200 Grand Rapids, Michigan
Zip:
49525
Phone Number:
616-957-1200
Fax Number:
616-957-1297
Patients can reach Clyde A Richardson at 3210 Eagle Run Dr, Suite 200, Grand Rapids, Michigan or can call to book an appointment on 616-957-1200. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.