Provider Demographics
NPI:1063797173
Name:RICE, RYAN ANDREW (MA, LPCC)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:ANDREW
Last Name:RICE
Suffix:
Gender:M
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2671 APEX CT
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-5030
Mailing Address - Country:US
Mailing Address - Phone:513-288-4221
Mailing Address - Fax:
Practice Address - Street 1:8050 BECKETT CENTER DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-5017
Practice Address - Country:US
Practice Address - Phone:513-288-4221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-20
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE 0500555101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health