| Uprise Behavioral Health Llc | |
|
5 Severance Cir Ste 201 Cleveland Hts OH 44118-1567 | |
| (216) 659-5406 | |
| Not Available |
| Full Name | Uprise Behavioral Health Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5 Severance Cir Ste 201, Cleveland Hts, Ohio |
| Authorized Official Name and Position | Mickie Chaney (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2166595406 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uprise Behavioral Health Llc 13701 5th Ave East Cleveland OH 44112-3109 Ph: (216) 659-5406 | Uprise Behavioral Health Llc 5 Severance Cir Ste 201 Cleveland Hts OH 44118-1567 Ph: (216) 659-5406 |
| NPI Number | 1043893662 |
|---|---|
| Provider Enumeration Date | 05/02/2021 |
| Last Update Date | 05/02/2021 |
| Certification Date | 05/02/2021 |
| Medicare PECOS PAC ID | 9638564693 |
|---|---|
| Medicare Enrollment ID | O20220310000641 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043893662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Mickie Chaney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922508159 PECOS PAC ID: 6204172935 Enrollment ID: I20190116002899 |
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