MEDICARE: HARVEY LEWIS RICE JR.

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	101YP1600X	Pastoral Counselor
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1821863564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARVEY LEWIS RICE JR.

Provider Business Mailing Address
First Line	:	3796 FILTON DR
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27406-9807
Country	:	US
Telephone Number	:	336-392-5554
Fax Number	:

Provider Business Practice Location Address
First Line	:	3796 FILTON DR
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27406-9807
Country	:	US
Telephone Number	:	336-392-5554
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2023
Last Update Date	:	01/02/2024

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