Healthcare Provider Details

I. General information

NPI: 1275394207
Provider Name (Legal Business Name): ARISING BEHAVIORAL HEALTH AND SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2024
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14505 JAYSTONE DR
SILVER SPRING MD
20905-7403
US

IV. Provider business mailing address

14505 JAYSTONE DR
SILVER SPRING MD
20905-7403
US

V. Phone/Fax

Practice location:
  • Phone: 301-792-9424
  • Fax:
Mailing address:
  • Phone: 301-792-9424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: AMILIA ALCEMA
Title or Position: OWNER
Credential:
Phone: 301-642-4374