Healthcare Provider Details

I. General information

NPI: 1326993569
Provider Name (Legal Business Name): ARISE THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2026
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 N 7TH ST
WEST MONROE LA
71291-4334
US

IV. Provider business mailing address

1110 N 7TH ST
WEST MONROE LA
71291-4334
US

V. Phone/Fax

Practice location:
  • Phone: 318-855-0111
  • Fax: 318-855-0117
Mailing address:
  • Phone: 318-855-0111
  • Fax: 318-855-0117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: CHRISTIAN N GULLETTE
Title or Position: OWNER
Credential:
Phone: 318-855-0111