Rice, Mavis

Rice, Mavis is an individual health care provider with primary practice located at 6542 Regency Ln Suite 206, Eden Prairie MN 55344-7847. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Rice, Mavis can be contacted via phone (952) 736-7136.

Contact Information

Primary practice address
6542 Regency Ln Suite 206 Eden Prairie MN 55344-7847
Phone: (952) 736-7136
Fax: (952) 903-9257
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LP4004 Minnesota
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X LP4004 Minnesota

Profile Details

NPI number 1790869121
LBN Legal business name Rice, Mavis
Credentials MA LP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Jul 9th, 2007 - about 18 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 1790869121 NPPES
Minnesota Other 62-50536 MEDICA/UBH
Minnesota Other HP50743 MEDICA/UBH
Minnesota MEDICAID 386981400 MEDICA/UBH
Minnesota Other 39Q41BU MEDICA/UBH
Minnesota Other 83G85K1 MEDICA/UBH
Minnesota Other 167373 MEDICA/UBH
Minnesota Other 30433-01 MEDICA/UBH

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