Provider Demographics
NPI:1609226893
Name:RICE, THERESA (MA)
Entity Type:Individual
Prefix:
First Name:THERESA
Middle Name:
Last Name:RICE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:TERRI
Other - Middle Name:
Other - Last Name:RICE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA AMFT
Mailing Address - Street 1:1004 FOXMOOR DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37042-5463
Mailing Address - Country:US
Mailing Address - Phone:541-324-1838
Mailing Address - Fax:
Practice Address - Street 1:2321 RUDOLPHTOWN RD
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-2228
Practice Address - Country:US
Practice Address - Phone:931-494-6803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-17
Last Update Date:2023-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist