Provider Type Icon

RISE THERAPEUTIC SERVICES LLC NPI 1497474423


NPI Information

NPI: 1497474423
Provider Name: RISE THERAPEUTIC SERVICES, LLC
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
5400 CHARLES PAGE BLVD
TULSA, OK
ZIP 74127
Phone: (918) 901-7512
Get Directions

RISE THERAPEUTIC SERVICES, LLC is a counselor in Tulsa, OK. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. RISE THERAPEUTIC SERVICES, LLC NPI is 1497474423. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5400 CHARLES PAGE BLVD
TULSA, OK
ZIP 74127-548
Phone: (918) 901-7512
Fax: (918) 900-0304

The provider's authorized official is Gary Roberts .
The authorized official title is Owner and has the following contact phone number (918) 901-7512.

The enumeration date for this NPI number is 8/23/2022 and was last updated on 8/23/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1LPC06532OTHEROKLAHOMALPC LICENSE

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.