| Rise Mental Health And Wellness | |
|
1215 N Main St Ste 1 Monticello KY 42633-2900 | |
| (606) 575-0003 | |
| Not Available |
| Full Name | Rise Mental Health And Wellness |
|---|---|
| Speciality | Counselor |
| Location | 1215 N Main St Ste 1, Monticello, Kentucky |
| Authorized Official Name and Position | Ashley Brake (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6065750003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rise Mental Health And Wellness 772 Highway 1258 Monticello KY 42633-5428 Ph: (606) 575-0003 | Rise Mental Health And Wellness 1215 N Main St Ste 1 Monticello KY 42633-2900 Ph: (606) 575-0003 |
| NPI Number | 1639730955 |
|---|---|
| Provider Enumeration Date | 06/26/2019 |
| Last Update Date | 06/26/2019 |
| Medicare PECOS PAC ID | 8123466133 |
|---|---|
| Medicare Enrollment ID | O20240409003577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639730955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Ashley Brake |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407277387 PECOS PAC ID: 1850739863 Enrollment ID: I20240409003755 |
| Provider Name | Kayla Danielle Stephens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992356489 PECOS PAC ID: 7719325695 Enrollment ID: I20240411000810 |
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