Provider Demographics
NPI:1568896827
Name:GRICE, VICTORIA LOUISE (MS, LCMHC, NCC)
Entity Type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:LOUISE
Last Name:GRICE
Suffix:
Gender:F
Credentials:MS, LCMHC, NCC
Other - Prefix:MS
Other - First Name:VICTORIA
Other - Middle Name:L
Other - Last Name:GRICE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, LCMHC, NCC
Mailing Address - Street 1:3643 N ROXBORO ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-2702
Mailing Address - Country:US
Mailing Address - Phone:919-470-8532
Mailing Address - Fax:
Practice Address - Street 1:3643 N ROXBORO ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-2702
Practice Address - Country:US
Practice Address - Phone:919-470-8532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-22
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA9632101Y00000X, 101YA0400X, 101YM0800X
NC9632101Y00000X, 101YA0400X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional