Rice, Desiree

Rice, Desiree is an individual health care provider with primary practice located at 1640 N Major Dr Ste 102 , Beaumont TX 77713-8506. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Rice, Desiree can be contacted via phone (409) 338-9003.

Contact Information

Primary practice address
1640 N Major Dr Ste 102 Beaumont TX 77713-8506
Phone: (409) 338-9003
Fax: (800) 736-2576
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 11927 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 63396 Texas
Behavioral Health & Social Service Providers / Counselor 101Y00000X 63396 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 63396 Texas

Profile Details

NPI number 1578947438
LBN Legal business name Rice, Desiree
Credentials MED, LPC, LCDC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2015
Last updated Aug 19th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578947438 NPPES
Texas MEDICAID 3480279-02

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