MEDICARE: GRAND RISING COUNSELING 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1760340376
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRAND RISING COUNSELING SERVICES, LLC

Provider Business Mailing Address
First Line	:	2463 SYCAMORE RD NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30318-3929
Country	:	US
Telephone Number	:	404-862-3877
Fax Number	:

Provider Business Practice Location Address
First Line	:	2463 SYCAMORE RD NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30318-3929
Country	:	US
Telephone Number	:	404-862-3877
Fax Number	:

Authorized Official
Title or Position	:	OWNER/COUNSELOR
Name	:	SASHA LITTLE
Credential	:	LPC
Telephone Number	:	404-862-3877

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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