| Arise Behavioral And Wellness Health | |
|
1505 W Jefferson St Ste 155 Waxahachie TX 75165-2223 | |
| (469) 550-2031 | |
| (469) 550-2039 |
| Full Name | Arise Behavioral And Wellness Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1505 W Jefferson St Ste 155, Waxahachie, Texas |
| Authorized Official Name and Position | Rhoda Kutesa Bickerstaff (OWNER) |
| Authorized Official Contact | 8172499717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arise Behavioral And Wellness Health 1505 W Jefferson St Ste 155 Waxahachie TX 75165-2223 Ph: (469) 550-2031 | Arise Behavioral And Wellness Health 1505 W Jefferson St Ste 155 Waxahachie TX 75165-2223 Ph: (469) 550-2031 |
| NPI Number | 1578018073 |
|---|---|
| Provider Enumeration Date | 08/25/2016 |
| Last Update Date | 12/18/2023 |
| Certification Date | 12/18/2023 |
| Medicare PECOS PAC ID | 4587000120 |
|---|---|
| Medicare Enrollment ID | O20240306001202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578018073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | AP130637 (Texas) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Rhoda Bickerstaff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720440092 PECOS PAC ID: 8022315209 Enrollment ID: I20160404000446 |
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