Healthcare Provider Details
I. General information
NPI: 1942129424
Provider Name (Legal Business Name): ARISE PROFESSIONAL CLINICAL COUNSELING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
23550 LYONS AVE STE 211
NEWHALL CA
91321-5745
US
IV. Provider business mailing address
PO BOX 1014
SAN FERNANDO CA
91341-1014
US
V. Phone/Fax
- Phone: 818-425-8142
- Fax:
- Phone: 818-425-8142
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
NANCY
CAROLINA
RAMIREZ
Title or Position: PRESIDENT
Credential: LPCC
Phone: 818-425-8142