MEDICARE: MICHELE RICE MS, LPC

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
1	101YP2500X	Professional Counselor	PC004915	PA

General Provider Information

NPI Number	:	1578729067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELE RICE MS, LPC

Provider Business Mailing Address
First Line	:	517 FISHERS RD
Second Line	:
City	:	BRYN MAWR
State	:	PA
Zip	:	19010-3623
Country	:	US
Telephone Number	:	610-519-9522
Fax Number	:

Provider Business Practice Location Address
First Line	:	326 W LANCASTER AVE STE 211
Second Line	:
City	:	ARDMORE
State	:	PA
Zip	:	19003-1228
Country	:	US
Telephone Number	:	610-715-3060
Fax Number	:	610-519-9993

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2008
Last Update Date	:	01/17/2020

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