Organization
UNWIND BRENT RICE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT RICE (MSW)
(502) 515-7004
Entity
Organization
Contact information
Practice address
320 BOOTH AVE, OWENSBORO, KY 42301-5029
(502) 515-7004
Mailing address
320 BOOTH AVE, OWENSBORO, KY 42301-5029
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100719340
—
KY
Enumeration date
03/29/2022
Last updated
05/13/2022
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