MEDICARE: ARISE COUNSELING & CONSULTING SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	C0600139	OH

General Provider Information

NPI Number	:	1144559733
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARISE COUNSELING & CONSULTING SERVICES, LLC

Provider Business Mailing Address
First Line	:	PO BOX 25352
Second Line	:
City	:	GARFIELD HEIGHTS
State	:	OH
Zip	:	44125-0352
Country	:	US
Telephone Number	:	216-820-1180
Fax Number	:

Provider Business Practice Location Address
First Line	:	5706 TURNEY RD
Second Line	:	SUITE 205
City	:	GARFIELD HEIGHTS
State	:	OH
Zip	:	44125-3971
Country	:	US
Telephone Number	:	216-820-1180
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/DIRECTOR
Name	:	MS. LISA RENEE RODGERS
Credential	:	M.ED., LPCC-S
Telephone Number	:	216-820-1180

Provider Enumeration Date	:	12/10/2009
Last Update Date	:	12/10/2009

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