Healthcare Provider Details

I. General information

NPI: 1992687677
Provider Name (Legal Business Name): TEMIA RICE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2025
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 3RD ST
MOLINE IL
61265-6106
US

IV. Provider business mailing address

2721 8TH ST
ROCK ISLAND IL
61201-5285
US

V. Phone/Fax

Practice location:
  • Phone: 309-779-3000
  • Fax:
Mailing address:
  • Phone: 309-235-3092
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178.019495
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number853485
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: