Provider Demographics
NPI:1447848684
Name:RICE, JONISHA DELOISE
Entity type:Individual
Prefix:
First Name:JONISHA
Middle Name:DELOISE
Last Name:RICE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 VULCAN RD STE 300
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:35209-4701
Mailing Address - Country:US
Mailing Address - Phone:205-800-8941
Mailing Address - Fax:888-212-0844
Practice Address - Street 1:105 VULCAN RD STE 300
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:AL
Practice Address - Zip Code:35209-4701
Practice Address - Country:US
Practice Address - Phone:205-800-8941
Practice Address - Fax:888-212-0844
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-04
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLPC05089101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor