Provider Demographics
NPI:1457453185
Name:RICE, GLENDA LEE (MA, LPC)
Entity Type:Individual
Prefix:
First Name:GLENDA
Middle Name:LEE
Last Name:RICE
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5909 WEST LOOP S
Mailing Address - Street 2:SUITE 470
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-2402
Mailing Address - Country:US
Mailing Address - Phone:713-664-5513
Mailing Address - Fax:713-664-5523
Practice Address - Street 1:5909 WEST LOOP S
Practice Address - Street 2:SUITE 470
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2402
Practice Address - Country:US
Practice Address - Phone:713-664-5513
Practice Address - Fax:713-664-5523
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18955101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health