Healthcare Provider Details

I. General information

NPI: 1962386946
Provider Name (Legal Business Name): ANDREW RICE LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1023 E BALTIMORE PIKE STE 210
MEDIA PA
19063-5126
US

IV. Provider business mailing address

1489 BALTIMORE PIKE STE 250
SPRINGFIELD PA
19064-3974
US

V. Phone/Fax

Practice location:
  • Phone: 484-202-0751
  • Fax:
Mailing address:
  • Phone: 610-544-2110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC017850
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: