Healthcare Provider Details

I. General information

NPI: 1033020854
Provider Name (Legal Business Name): RISE INTEGRATIVE HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 W LINE ST STE 3
CALHOUN GA
30701-1837
US

IV. Provider business mailing address

PO BOX 323
CALHOUN GA
30703-0323
US

V. Phone/Fax

Practice location:
  • Phone: 678-383-0636
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ZACHARY R. TOWNSEND
Title or Position: OWNER DIRECTOR
Credential: LCSW
Phone: 678-986-9452