MAVIS RICE MA LP NPI 1790869121

NPI Information

NPI: 1790869121
Provider Name: MAVIS RICE, MA LP
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
6542 REGENCY LN
SUITE 206
EDEN PRAIRIE, MN
ZIP 55344
Phone: (952) 736-7136
Get Directions

Mavis Rice, MA LP is a mental health counselor in Eden Prairie, MN. Mavis Rice, MA LP NPI is 1790869121. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6542 REGENCY LN
SUITE 206
EDEN PRAIRIE, MN
ZIP 55344-847
Phone: (952) 736-7136
Fax: (952) 903-9257

The enumeration date for this NPI number is 10/24/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LP4004	MINNESOTA	Yes
2	103TP2701X	Psychologist	Group Psychotherapy	LP4004	MINNESOTA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	167373	OTHER	MINNESOTA	U CARE
2	62-50536	OTHER	MINNESOTA	MEDICA/UBH
3	30433-01	OTHER	MINNESOTA	PREFERREDONE (BPH)
4	83G85K1	OTHER	MINNESOTA	BCBS INDIVIDUAL
5	HP50743	OTHER	MICRONESIA	HEALTHPARTNERS
6	39Q41BU	OTHER	MINNESOTA	BCBS GROUP
7	5200857	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA	INDIVIDUAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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