Provider Demographics
NPI:1568284156
Name:RICE, BRANDY MICHELLE (BS)
Entity type:Individual
Prefix:MRS
First Name:BRANDY
Middle Name:MICHELLE
Last Name:RICE
Suffix:
Gender:F
Credentials:BS
Other - Prefix:MS
Other - First Name:BRANDY
Other - Middle Name:MICHELLE
Other - Last Name:OWENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:N/A
Mailing Address - Street 1:791 S 4TH AVE STE E
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-3067
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:791 S 4TH AVE STE E
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-3067
Practice Address - Country:US
Practice Address - Phone:928-920-6220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-25
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health