| Rising Wellness Counseling Llc | |
|
47 Simmers Rd Rising Sun MD 21911-2304 | |
| (443) 350-4667 | |
| Not Available |
| Full Name | Rising Wellness Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 47 Simmers Rd, Rising Sun, Maryland |
| Authorized Official Name and Position | Evann L Reichenbach (OWNER) |
| Authorized Official Contact | 4433504667 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rising Wellness Counseling Llc 47 Simmers Rd Rising Sun MD 21911-2304 Ph: (443) 350-4667 | Rising Wellness Counseling Llc 47 Simmers Rd Rising Sun MD 21911-2304 Ph: (443) 350-4667 |
| NPI Number | 1619686649 |
|---|---|
| Provider Enumeration Date | 11/17/2022 |
| Last Update Date | 04/07/2023 |
| Certification Date | 12/29/2022 |
| Medicare PECOS PAC ID | 0840660577 |
|---|---|
| Medicare Enrollment ID | O20221221001339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619686649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Allan Berkowitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720130982 PECOS PAC ID: 7517182769 Enrollment ID: I20140702001793 |
| Provider Name | Shannon R Woods |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659097723 PECOS PAC ID: 8426428731 Enrollment ID: I20230106000610 |
| Provider Name | Evann L Reichenbach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164005658 PECOS PAC ID: 1153791462 Enrollment ID: I20230106000852 |
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