| Rise Family Therapy Center Llc | |
|
595 Ashley Ct Ste 1 North Liberty IA 52317-4758 | |
| (319) 626-2244 | |
| (319) 409-9265 |
| Full Name | Rise Family Therapy Center Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 595 Ashley Ct Ste 1, North Liberty, Iowa |
| Authorized Official Name and Position | Bethany Gugliano (OWNER/THERAPIST) |
| Authorized Official Contact | 3192864545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rise Family Therapy Center Llc 595 Ashley Ct Ste 1 North Liberty IA 52317-4758 Ph: (319) 626-2224 | Rise Family Therapy Center Llc 595 Ashley Ct Ste 1 North Liberty IA 52317-4758 Ph: (319) 626-2244 |
| NPI Number | 1275309072 |
|---|---|
| Provider Enumeration Date | 12/01/2023 |
| Last Update Date | 12/01/2023 |
| Certification Date | 12/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275309072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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