Healthcare Provider Details

I. General information

NPI: 1154295699
Provider Name (Legal Business Name): RISE REACHING INFINITE SELF-EMPOWERMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2025
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1370 NW 114TH ST STE 100
CLIVE IA
50325-7008
US

IV. Provider business mailing address

1120 FRAZIER AVE
DES MOINES IA
50315-7222
US

V. Phone/Fax

Practice location:
  • Phone: 515-770-9680
  • Fax:
Mailing address:
  • Phone: 515-735-0907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. SHARRELL SOLIVERAS
Title or Position: OWNER
Credential: LMSW
Phone: 515-770-9680