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NPI Code Detail

MEDICARE: MICHELE RICE LPC LLC

MEDICARE: MICHELE RICE LPC LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor004915PA

General Provider Information

NPI Number : 1023248176
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHELE RICE LPC LLC
Provider Business Mailing Address
First Line : 326 W LANCASTER AVE
Second Line : SUITE 211
City : ARDMORE
State : PA
Zip : 19003-1228
Country : US
Telephone Number : 610-649-2267
Fax Number : 610-519-9993
Provider Business Practice Location Address
First Line : 326 W LANCASTER AVE
Second Line : SUITE 211
City : ARDMORE
State : PA
Zip : 19003-1228
Country : US
Telephone Number : 610-649-2267
Fax Number : 610-519-9993
Authorized Official
Title or Position : PSYCHOTHERAPIST
Name : MICHELE MARIANNE RICE
Credential : LPC
Telephone Number : 610-649-2267
Provider Enumeration Date : 07/23/2009
Last Update Date : 07/23/2009

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Directions to “MICHELE RICE LPC LLC ” Practice Location

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