| Rise Up Forever Inc | |
|
4570 S Eastern Ave Ste 24 Las Vegas NV 89119-6183 | |
| (702) 685-2700 | |
| Not Available |
| Full Name | Rise Up Forever Inc |
|---|---|
| Speciality | Counselor |
| Location | 4570 S Eastern Ave Ste 24, Las Vegas, Nevada |
| Authorized Official Name and Position | Hallie R Harper (CEO) |
| Authorized Official Contact | 4029609784 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rise Up Forever Inc 4570 S Eastern Ave Ste 24 Las Vegas NV 89119-6183 Ph: (702) 863-1334 | Rise Up Forever Inc 4570 S Eastern Ave Ste 24 Las Vegas NV 89119-6183 Ph: (702) 685-2700 |
| NPI Number | 1588432769 |
|---|---|
| Provider Enumeration Date | 12/18/2023 |
| Last Update Date | 12/18/2023 |
| Certification Date | 12/16/2023 |
| Medicare PECOS PAC ID | 8729529755 |
|---|---|
| Medicare Enrollment ID | O20240918001568 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588432769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
| Provider Name | Hallie R Harper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528120607 PECOS PAC ID: 4587793237 Enrollment ID: I20240920001217 |
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