Provider Demographics
NPI:1356846828
Name:RICE, ANGELENA (LPC)
Entity Type:Individual
Prefix:
First Name:ANGELENA
Middle Name:
Last Name:RICE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5319 S UKRAINE ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-6562
Mailing Address - Country:US
Mailing Address - Phone:720-550-0704
Mailing Address - Fax:
Practice Address - Street 1:6767 S SPRUCE ST STE 105
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1284
Practice Address - Country:US
Practice Address - Phone:720-550-0704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-27
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0015790101YP2500X
COLPC.0016381101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional