Provider Demographics
NPI:1376716878
Name:RICE, MELODY C (LCPC, ATR-BC)
Entity Type:Individual
Prefix:MS
First Name:MELODY
Middle Name:C
Last Name:RICE
Suffix:
Gender:F
Credentials:LCPC, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 W BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-9128
Mailing Address - Country:US
Mailing Address - Phone:406-723-5169
Mailing Address - Fax:406-723-5169
Practice Address - Street 1:405 W PARK ST
Practice Address - Street 2:STUDIO # 304
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-9120
Practice Address - Country:US
Practice Address - Phone:406-291-4873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-07
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1307-LCPC101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional