Provider Demographics
NPI:1487167177
Name:HEATHER L RICE LMHC PLLC COUNSELING SERVICES
Entity type:Organization
Organization Name:HEATHER L RICE LMHC PLLC COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:L
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, NCC, ACS
Authorized Official - Phone:315-820-0186
Mailing Address - Street 1:205 E 6TH ST
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13126-3231
Mailing Address - Country:US
Mailing Address - Phone:315-236-1234
Mailing Address - Fax:
Practice Address - Street 1:300 W 1ST ST STE 4
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:NY
Practice Address - Zip Code:13126-3692
Practice Address - Country:US
Practice Address - Phone:315-820-0186
Practice Address - Fax:315-820-0186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-16
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004474101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty