Healthcare Provider Details

I. General information

NPI: 1992659536
Provider Name (Legal Business Name): AMY RICE, MA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2026
Last Update Date: 02/23/2026
Certification Date: 02/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 MAIN ST
VERGENNES VT
05491-1169
US

IV. Provider business mailing address

64 MAIN ST
VERGENNES VT
05491-1169
US

V. Phone/Fax

Practice location:
  • Phone: 802-989-1942
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: AMY RICE
Title or Position: EMPLOYEE
Credential: MA, RD, LMHC
Phone: 802-989-1942