| Doctor Name: | LISA RAE RICE |
| NPI Number: | 1023257607 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMFT |
| License Number: | |
| Business Practice Address: | 1830 Destiny Ln Suite 107 Bowling Green, KY - 421041087 |
| Business Phone Number: | 2708463222 |
| Business Fax Number: | 2708463228 |
| Mailing Address: | 1830 Destiny Ln, Suite 107 BOWLING GREEN |
| State: | KY |
| Postal Code: | 421041087 |
| Phone Number: | 2708463222 |
| Fax Number: | 2708463228 |
| NPI Enumeration Date: | 02/05/2009 |
| NPI Last Update Date: | 12/04/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |