| Rise To Wellness Llc | |
|
1232 E Broadway Rd Ste 106 Tempe AZ 85282-1510 | |
| (602) 838-0783 | |
| Not Available |
| Full Name | Rise To Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1232 E Broadway Rd Ste 106, Tempe, Arizona |
| Authorized Official Name and Position | Noor Abdirazak (CEO) |
| Authorized Official Contact | 6028380783 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rise To Wellness Llc 1232 E Broadway Rd Ste 106 Tempe AZ 85282-1510 Ph: (602) 838-0783 | Rise To Wellness Llc 1232 E Broadway Rd Ste 106 Tempe AZ 85282-1510 Ph: (602) 838-0783 |
| NPI Number | 1265122618 |
|---|---|
| Provider Enumeration Date | 05/09/2023 |
| Last Update Date | 05/09/2023 |
| Certification Date | 05/09/2023 |
| Medicare PECOS PAC ID | 4789046954 |
|---|---|
| Medicare Enrollment ID | O20230821001179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265122618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Latriece Session |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326773342 PECOS PAC ID: 2365812682 Enrollment ID: I20230821003810 |
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