Organization Name: | MICHELE RICE LPC LLC |
NPI Number: | 1023248176 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHELE MARIANNE RICE (PSYCHOTHERAPIST) |
Mailing Address: | 326 W Lancaster Ave Suite 211 Ardmore |
State: | PA US |
Postal Code: | 190031228 |
Phone Number: | 6106492267 |
Fax Number: | 6105199993 |
NPI Enumeration Date: | 07/23/2009 |
NPI Last Update Date: | 07/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 004915 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |