Healthcare Provider Details

I. General information

NPI: 1003545708
Provider Name (Legal Business Name): RISE COUNSELING & CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2022
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 JERSEY AVE
SAINT CLOUD FL
34769-4245
US

IV. Provider business mailing address

3412 GOLDENEYE LN
SAINT CLOUD FL
34772-7764
US

V. Phone/Fax

Practice location:
  • Phone: 689-210-7710
  • Fax:
Mailing address:
  • Phone: 321-624-1847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE DUBNICKA
Title or Position: OWNER/MANAGER
Credential: LMHC
Phone: 321-624-1847