Provider Demographics
NPI:1497996615
Name:RICE COUNSELING & ASSOCIATES, INC
Entity Type:Organization
Organization Name:RICE COUNSELING & ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:E
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:434-316-9006
Mailing Address - Street 1:1892 GRAVES MILL ROAD
Mailing Address - Street 2:SUITE D
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-5097
Mailing Address - Country:US
Mailing Address - Phone:434-316-9006
Mailing Address - Fax:434-316-9008
Practice Address - Street 1:1892 GRAVES MILL RD
Practice Address - Street 2:SUITE D
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-5098
Practice Address - Country:US
Practice Address - Phone:434-316-9006
Practice Address - Fax:434-316-9008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003338101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1035-05-001Medicaid