Healthcare Provider Details

I. General information

NPI: 1427970490
Provider Name (Legal Business Name): SAMANTHA RICE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 W 20TH ST
TUCSON AZ
85701-3038
US

IV. Provider business mailing address

127 W 20TH ST
TUCSON AZ
85701-3038
US

V. Phone/Fax

Practice location:
  • Phone: 520-369-3665
  • Fax:
Mailing address:
  • Phone: 520-369-3665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC-24987
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: