Provider Demographics
NPI:1952925141
Name:RICE, LEANNA R (LPC)
Entity Type:Individual
Prefix:
First Name:LEANNA
Middle Name:R
Last Name:RICE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6015 GLENDALE CHASE CT APT 302
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28217-0077
Mailing Address - Country:US
Mailing Address - Phone:336-575-2424
Mailing Address - Fax:
Practice Address - Street 1:6015 GLENDALE CHASE CT APT 302
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28217-0077
Practice Address - Country:US
Practice Address - Phone:336-575-2424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-03
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6250-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional