Provider Demographics
NPI:1295622504
Name:TURK RICE, SHELBY LEIGH (LPC, CRC, NCC)
Entity type:Individual
Prefix:
First Name:SHELBY
Middle Name:LEIGH
Last Name:TURK RICE
Suffix:
Gender:F
Credentials:LPC, CRC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:POCATELLO
Mailing Address - State:ID
Mailing Address - Zip Code:83204-3210
Mailing Address - Country:US
Mailing Address - Phone:208-232-8840
Mailing Address - Fax:208-232-0925
Practice Address - Street 1:101 S MAIN ST
Practice Address - Street 2:
Practice Address - City:POCATELLO
Practice Address - State:ID
Practice Address - Zip Code:83204-3210
Practice Address - Country:US
Practice Address - Phone:208-232-8840
Practice Address - Fax:208-232-0925
Is Sole Proprietor?:No
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID745783225C00000X
ID7471262101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor