Healthcare Provider Details

I. General information

NPI: 1548101512
Provider Name (Legal Business Name): LET'S RISE ABOVE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3626 W DEVONSHIRE AVE UNIT 1205
HEMET CA
92545-2604
US

IV. Provider business mailing address

3626 W DEVONSHIRE AVE UNIT 1205
HEMET CA
92545-2604
US

V. Phone/Fax

Practice location:
  • Phone: 951-367-9291
  • Fax:
Mailing address:
  • Phone: 951-367-9291
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JONATHAN DROUAULT
Title or Position: PRESIDENT
Credential:
Phone: 951-367-9291