| Rise Behavioral Health, Llc | |
|
355 Crawford St Portsmouth VA 23704-2816 | |
| (757) 394-4523 | |
| (757) 282-7866 |
| Full Name | Rise Behavioral Health, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 355 Crawford St, Portsmouth, Virginia |
| Authorized Official Name and Position | Latiesha Wiggins (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7573944523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rise Behavioral Health, Llc 3809 Red Barn Rd Ste 502 Portsmouth VA 23703-2712 Ph: (757) 394-4523 | Rise Behavioral Health, Llc 355 Crawford St Portsmouth VA 23704-2816 Ph: (757) 394-4523 |
| NPI Number | 1114416187 |
|---|---|
| Provider Enumeration Date | 05/06/2018 |
| Last Update Date | 05/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114416187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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