Rise Therapy Llc | |
1611 Woodlawn Rd Greenwood SC 29649-9419 | |
(864) 214-5374 | |
Not Available |
Full Name | Rise Therapy Llc |
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Speciality | Counselor |
Location | 1611 Woodlawn Rd, Greenwood, South Carolina |
Authorized Official Name and Position | Christy Jordan-williams (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 8642145374 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rise Therapy Llc Po Box 292 Greenwood SC 29648 Ph: (864) 214-5374 | Rise Therapy Llc 1611 Woodlawn Rd Greenwood SC 29649-9419 Ph: (864) 214-5374 |
NPI Number | 1073362257 |
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Provider Enumeration Date | 05/18/2024 |
Last Update Date | 12/06/2024 |
Certification Date | 12/06/2024 |
Medicare PECOS PAC ID | 5597291302 |
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Medicare Enrollment ID | O20241203004539 |
Identifier | Type | State | Issuer |
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1073362257 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Christy L Jordan-williams |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1336730621 PECOS PAC ID: 6406382217 Enrollment ID: I20241203004601 |
Anchor Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 112b Bypass 225, Greenwood, SC 29646 Phone: 864-936-6910 | |
Sudie M Clem Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 112 Bypass 225, Greenwood, SC 29646 Phone: 864-344-3484 Fax: 864-977-3480 |