Individual ProviderElizabeth RichardsonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address23800 W 10 Mile Rd Ste 210, Southfield, MI 48033-3141(734) 674-5751(313) 331-3435PECOS EnrollmentBased on the most recent information from CMS, provider Elizabeth Richardson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:21 AM.Profile DetailsProvider ID1790194496Provider TypeIndividualFull NameRichardson, ElizabethGenderFemaleSole ProprietorYesEnumeration Date8/6/2014Last Updated5/4/2022Contact InformationPractice LocationPractice Address23800 W 10 Mile Rd Ste 210, Southfield, MI 48033-3141Phone(734) 674-5751FaxUnlisted FaxMailing LocationMailing AddressPO Box 1963, Belleville, MI 48112-1963Phone(313) 331-3435Fax(313) 924-0605Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense6801097190Michigan