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NPI Code Detail

MEDICARE: RISE WELLNESS LLC

MEDICARE: RISE WELLNESS 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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1235855289
Entity Type Code : Organization
Provider Name (Legal Business Name) : RISE WELLNESS LLC
Provider Business Mailing Address
First Line : 225 W LINE ST STE 4
Second Line :
City : CALHOUN
State : GA
Zip : 30701-1837
Country : US
Telephone Number : 678-383-0636
Fax Number :
Provider Business Practice Location Address
First Line : 225 W LINE ST STE 4
Second Line :
City : CALHOUN
State : GA
Zip : 30701-1837
Country : US
Telephone Number : 678-986-9452
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ZACHARY RYAN TOWNSEND
Credential : LCSW
Telephone Number : 678-986-9452
Provider Enumeration Date : 10/12/2022
Last Update Date : 12/13/2025

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Directions to “RISE WELLNESS LLC ” Practice Location

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