Provider Demographics
NPI:1912383589
Name:RICE, WILLIAM (LISW)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:RICE
Suffix:
Gender:M
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 132
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-0132
Mailing Address - Country:US
Mailing Address - Phone:740-644-9872
Mailing Address - Fax:844-623-7178
Practice Address - Street 1:102 CATTAIL RD
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-9404
Practice Address - Country:US
Practice Address - Phone:800-321-8293
Practice Address - Fax:740-702-2213
Is Sole Proprietor?:No
Enumeration Date:2015-08-06
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLICDC.141010101YA0400X
OHI.18013881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)