| Rise Up Recovery Services Inc. | |
|
602 Chillicothe St Ste 700 Portsmouth OH 45662-4098 | |
| (740) 529-2105 | |
| (740) 529-1888 |
| Full Name | Rise Up Recovery Services Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 602 Chillicothe St Ste 700, Portsmouth, Ohio |
| Authorized Official Name and Position | Nycole Lyn Kulp (CDCA) |
| Authorized Official Contact | 7405292105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rise Up Recovery Services Inc. 602 Chillicothe St Ste 700 Portsmouth OH 45662-4098 Ph: (740) 529-2105 | Rise Up Recovery Services Inc. 602 Chillicothe St Ste 700 Portsmouth OH 45662-4098 Ph: (740) 529-2105 |
| NPI Number | 1720757339 |
|---|---|
| Provider Enumeration Date | 09/08/2021 |
| Last Update Date | 04/06/2023 |
| Certification Date | 04/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720757339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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