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RISE BEHAVIORAL HEALTH LLC NPI 1114416187


NPI Profile

NPI: 1114416187
Provider Name: RISE BEHAVIORAL HEALTH, LLC
Classification:Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
355 CRAWFORD ST
PORTSMOUTH, VA
ZIP 23704
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Phone: (757) 394-4523

RISE BEHAVIORAL HEALTH, LLC is an adult mental health clinic center in Portsmouth, VA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. RISE BEHAVIORAL HEALTH, LLC NPI is 1114416187. The provider is registered as an organization entity type.

The provider's business location address is:

355 CRAWFORD ST
PORTSMOUTH, VA
ZIP 23704-816
Phone: (757) 394-4523
Fax: (757) 282-7866

The provider's authorized official is Latiesha Wiggins .
The authorized official title is Executive Director and has the following contact phone number (757) 394-4523.

The enumeration date for this NPI number is 5/6/2018 and was last updated on 5/6/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 9/12/2021

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