Provider Demographics
NPI:1548979032
Name:DAVIS A. RICE, COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:DAVIS A. RICE, COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:301-643-5060
Mailing Address - Street 1:12511 MT. VICTORIA ROAD
Mailing Address - Street 2:
Mailing Address - City:NEWBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20664
Mailing Address - Country:US
Mailing Address - Phone:301-643-5060
Mailing Address - Fax:
Practice Address - Street 1:12511 MT. VICTORIA ROAD
Practice Address - Street 2:
Practice Address - City:NEWBURG
Practice Address - State:MD
Practice Address - Zip Code:20664
Practice Address - Country:US
Practice Address - Phone:301-643-5060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-23
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty