| Rise Therapeutic Solutions | |
|
59 Ellington St Fl 1 East Orange NJ 07017-5502 | |
| (973) 380-4954 | |
| Not Available |
| Full Name | Rise Therapeutic Solutions |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 59 Ellington St Fl 1, East Orange, New Jersey |
| Authorized Official Name and Position | Ashante Guillaume-salvant (CO-OWNER) |
| Authorized Official Contact | 2013030583 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rise Therapeutic Solutions 59 Ellington St Fl 1 East Orange NJ 07017-5502 Ph: (973) 380-4954 | Rise Therapeutic Solutions 59 Ellington St Fl 1 East Orange NJ 07017-5502 Ph: (973) 380-4954 |
| NPI Number | 1861057564 |
|---|---|
| Provider Enumeration Date | 05/08/2019 |
| Last Update Date | 05/08/2019 |
| Medicare PECOS PAC ID | 3375914765 |
|---|---|
| Medicare Enrollment ID | O20230123001035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861057564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Stacey-ann D Lambert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073019428 PECOS PAC ID: 2163786567 Enrollment ID: I20180511001582 |
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