MEDICARE: RICE COUNSELING SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1821818469
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICE COUNSELING SERVICES LLC

Provider Business Mailing Address
First Line	:	831 LINCOLN AVE
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48910-3364
Country	:	US
Telephone Number	:	517-712-8495
Fax Number	:	517-813-6069

Provider Business Practice Location Address
First Line	:	831 LINCOLN AVE
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48910-3364
Country	:	US
Telephone Number	:	517-712-8495
Fax Number	:	517-813-6069

Authorized Official
Title or Position	:	PROVIDER/OWNER
Name	:	AMANDA NELSON RICE
Credential	:	LPC
Telephone Number	:	517-712-8495

Provider Enumeration Date	:	10/16/2024
Last Update Date	:	10/16/2024

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