Rising Strong Counseling Llc | |
401 Se 6th St Ste 110h Evansville IN 47713-1215 | |
(812) 822-5967 | |
Not Available |
Full Name | Rising Strong Counseling Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 401 Se 6th St Ste 110h, Evansville, Indiana |
Authorized Official Name and Position | Jessica N Roosevelt (OWNER) |
Authorized Official Contact | 8128225967 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rising Strong Counseling Llc 401 Se 6th St Ste 110h Evansville IN 47713-1215 Ph: (812) 822-5967 | Rising Strong Counseling Llc 401 Se 6th St Ste 110h Evansville IN 47713-1215 Ph: (812) 822-5967 |
NPI Number | 1952079402 |
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Provider Enumeration Date | 08/31/2021 |
Last Update Date | 08/31/2021 |
Certification Date | 08/31/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952079402 | NPI | - | NPPES |
149023472 | Other | IL | STATE OF ILLINOIS |
34009242A | Other | IN | STATE OF INDIANA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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