| Unwind Brent Rice Counseling Llc | |
|
320 Booth Ave Owensboro KY 42301-5029 | |
| (502) 515-7004 | |
| Not Available |
| Full Name | Unwind Brent Rice Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 320 Booth Ave, Owensboro, Kentucky |
| Authorized Official Name and Position | Brent Rice (MSW) |
| Authorized Official Contact | 5025157004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Unwind Brent Rice Counseling Llc 320 Booth Ave Owensboro KY 42301-5029 Ph: () - | Unwind Brent Rice Counseling Llc 320 Booth Ave Owensboro KY 42301-5029 Ph: (502) 515-7004 |
| NPI Number | 1669112892 |
|---|---|
| Provider Enumeration Date | 03/29/2022 |
| Last Update Date | 05/13/2022 |
| Certification Date | 05/13/2022 |
| Medicare PECOS PAC ID | 4789065798 |
|---|---|
| Medicare Enrollment ID | O20220722000676 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669112892 | NPI | - | NPPES |
| 7100719340 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Brent Daniel Rice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982158432 PECOS PAC ID: 9830506658 Enrollment ID: I20210323002016 |
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