| Rize Up Counseling, Llc | |
|
6779 Orchard Trail Rd Ne Canton OH 44721-2526 | |
| (330) 432-5531 | |
| Not Available |
| Full Name | Rize Up Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 6779 Orchard Trail Rd Ne, Canton, Ohio |
| Authorized Official Name and Position | Danielle Mccarty (CEO) |
| Authorized Official Contact | 2344010012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rize Up Counseling, Llc Po Box 2856 North Canton OH 44720-0856 Ph: (234) 401-0012 | Rize Up Counseling, Llc 6779 Orchard Trail Rd Ne Canton OH 44721-2526 Ph: (330) 432-5531 |
| NPI Number | 1619688850 |
|---|---|
| Provider Enumeration Date | 12/08/2022 |
| Last Update Date | 12/08/2022 |
| Certification Date | 12/08/2022 |
| Medicare PECOS PAC ID | 3971978354 |
|---|---|
| Medicare Enrollment ID | O20230418000338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619688850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Mackrea G Larue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215421441 PECOS PAC ID: 5991105314 Enrollment ID: I20210607001548 |
| Provider Name | Tori Gee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699257733 PECOS PAC ID: 3072905025 Enrollment ID: I20220127000103 |
| Provider Name | Kristina Marie Hatcher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114419140 PECOS PAC ID: 0648621656 Enrollment ID: I20240103003924 |
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