Provider Demographics
NPI:1023248176
Name:MICHELE RICE LPC LLC
Entity type:Organization
Organization Name:MICHELE RICE LPC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:MARIANNE
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:610-649-2267
Mailing Address - Street 1:326 W LANCASTER AVE
Mailing Address - Street 2:SUITE 211
Mailing Address - City:ARDMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19003-1228
Mailing Address - Country:US
Mailing Address - Phone:610-649-2267
Mailing Address - Fax:610-519-9993
Practice Address - Street 1:326 W LANCASTER AVE
Practice Address - Street 2:SUITE 211
Practice Address - City:ARDMORE
Practice Address - State:PA
Practice Address - Zip Code:19003-1228
Practice Address - Country:US
Practice Address - Phone:610-649-2267
Practice Address - Fax:610-519-9993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-23
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA004915101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty