Provider Demographics
NPI:1366808263
Name:TRICE, INGRID (BS IN MENTAL HEALTH)
Entity type:Individual
Prefix:
First Name:INGRID
Middle Name:
Last Name:TRICE
Suffix:
Gender:F
Credentials:BS IN MENTAL HEALTH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:632 BRAMBLE CT
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30238-4402
Mailing Address - Country:US
Mailing Address - Phone:678-707-2902
Mailing Address - Fax:770-473-1252
Practice Address - Street 1:632 BRAMBLE CT
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30238-4402
Practice Address - Country:US
Practice Address - Phone:678-707-2902
Practice Address - Fax:770-473-1252
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-07
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No251B00000XAgenciesCase Management