| Rise Up Counseling & Consulting Pllc | |
|
700 N Cannon Blvd Suite 106 Kannapolis NC 28083-3798 | |
| (980) 621-4395 | |
| (704) 731-7178 |
| Full Name | Rise Up Counseling & Consulting Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 700 N Cannon Blvd, Kannapolis, North Carolina |
| Authorized Official Name and Position | Shakeena Yvette Speller (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 9806214395 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rise Up Counseling & Consulting Pllc 700 N Cannon Blvd Suite 106 Kannapolis NC 28083-3798 Ph: (980) 621-4395 | Rise Up Counseling & Consulting Pllc 700 N Cannon Blvd Suite 106 Kannapolis NC 28083-3798 Ph: (980) 621-4395 |
| NPI Number | 1871033225 |
|---|---|
| Provider Enumeration Date | 03/05/2017 |
| Last Update Date | 09/29/2022 |
| Certification Date | 09/29/2022 |
| Medicare PECOS PAC ID | 6103101654 |
|---|---|
| Medicare Enrollment ID | O20170323001471 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871033225 | NPI | - | NPPES |
| 1952735169 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Shakeena Y Speller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952735169 PECOS PAC ID: 0749589281 Enrollment ID: I20160504001553 |
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