Healthcare Provider Details

I. General information

NPI: 1538672910
Provider Name (Legal Business Name): RISING KARE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2017
Last Update Date: 06/16/2023
Certification Date: 06/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

413 S FARMERVILLE ST
RUSTON LA
71270-4654
US

IV. Provider business mailing address

413 S FARMERVILLE ST
RUSTON LA
71270-4654
US

V. Phone/Fax

Practice location:
  • Phone: 318-548-1463
  • Fax: 318-548-9202
Mailing address:
  • Phone: 318-548-1463
  • Fax: 318-548-9202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateLA
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. ROBERT SMITH JR.
Title or Position: MANAGER
Credential:
Phone: 832-928-6614