| Rise Holistic Healing, Llc | |
|
123 Forest Avenue Portland ME 04101-1907 | |
| (401) 249-0638 | |
| Not Available |
| Full Name | Rise Holistic Healing, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 123 Forest Avenue, Portland, Maine |
| Authorized Official Name and Position | Christine Stevens (OWNER) |
| Authorized Official Contact | 4012490638 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rise Holistic Healing, Llc Po Box 1994 Portland ME 04104-1994 Ph: () - | Rise Holistic Healing, Llc 123 Forest Avenue Portland ME 04101-1907 Ph: (401) 249-0638 |
| NPI Number | 1871181933 |
|---|---|
| Provider Enumeration Date | 01/05/2021 |
| Last Update Date | 01/05/2021 |
| Certification Date | 12/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871181933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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