Provider Demographics
NPI:1811650310
Name:RICE, CORRITHA J
Entity type:Individual
Prefix:
First Name:CORRITHA
Middle Name:J
Last Name:RICE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9214 MEMPHIS VILLAS BLVD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:OH
Mailing Address - Zip Code:44144-2429
Mailing Address - Country:US
Mailing Address - Phone:216-526-8346
Mailing Address - Fax:
Practice Address - Street 1:9214 MEMPHIS VILLAS BLVD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:OH
Practice Address - Zip Code:44144-2429
Practice Address - Country:US
Practice Address - Phone:216-526-8346
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-21
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral