Healthcare Provider Details

I. General information

NPI: 1215847868
Provider Name (Legal Business Name): KERIKA YASMINE RICE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4881 TAYLOR CIRCLE, COLLEGEDALE, TN 37315
COLLEGEDALE TN
37315
US

IV. Provider business mailing address

4865 LONE HILL RD
CHATTANOOGA TN
37416-1428
US

V. Phone/Fax

Practice location:
  • Phone: 423-236-2000
  • Fax:
Mailing address:
  • Phone: 423-320-9199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number279743
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: