Healthcare Provider Details
I. General information
NPI: 1528311032
Provider Name (Legal Business Name): ERIK RICE CMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/22/2012
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
176 S REGIONAL PARK RD
HURRICANE UT
84737-4967
US
IV. Provider business mailing address
474 W 200 N STE 300
ST GEORGE UT
84770-4505
US
V. Phone/Fax
- Phone: 435-986-8568
- Fax:
- Phone: 435-634-5600
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 10246239-6004 |
| License Number State | UT |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | 87-0427767 |
| License Number State | UT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: