| Desiree Rice, Inc. | |
|
1640 N Major Dr Ste 102 Beaumont TX 77713-8506 | |
| (409) 338-9003 | |
| (800) 736-2576 |
| Full Name | Desiree Rice, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 1640 N Major Dr Ste 102, Beaumont, Texas |
| Authorized Official Name and Position | Desiree Rice (OWNER/ PRESIDENT) |
| Authorized Official Contact | 4093389003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desiree Rice, Inc. 1130 Monterrey Dr Beaumont TX 77706-4135 Ph: (409) 351-0508 | Desiree Rice, Inc. 1640 N Major Dr Ste 102 Beaumont TX 77713-8506 Ph: (409) 338-9003 |
| NPI Number | 1285467803 |
|---|---|
| Provider Enumeration Date | 08/20/2024 |
| Last Update Date | 10/08/2024 |
| Certification Date | 10/08/2024 |
| Medicare PECOS PAC ID | 4385173137 |
|---|---|
| Medicare Enrollment ID | O20250124000115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285467803 | NPI | - | NPPES |
| Provider Name | Desiree Rice |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578947438 PECOS PAC ID: 3274069398 Enrollment ID: I20241211004606 |
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