Healthcare Provider Details

I. General information

NPI: 1396612768
Provider Name (Legal Business Name): RISE UP ARIZONA RECOVERY AND COUNSELING SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2025
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 E WETMORE RD FL 1
TUCSON AZ
85719-7213
US

IV. Provider business mailing address

645 W ASH RIDGE DR 645 W ASH RIDGE DR
GREEN VALLEY AZ
85614-5493
US

V. Phone/Fax

Practice location:
  • Phone: 520-633-4175
  • Fax:
Mailing address:
  • Phone: 520-440-5129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. TRUDY M CRAIG
Title or Position: MEMBER-MANAGED
Credential: LIAC
Phone: 520-440-5129