Healthcare Provider Details

I. General information

NPI: 1730007444
Provider Name (Legal Business Name): URISE THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2215 E BAY RIDGE DR
AU GRES MI
48703-9532
US

IV. Provider business mailing address

2215 E BAY RIDGE DR
AU GRES MI
48703-9532
US

V. Phone/Fax

Practice location:
  • Phone: 989-493-3394
  • Fax:
Mailing address:
  • Phone: 989-493-3394
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JILL MARIE BROWN
Title or Position: OFFICE MANAGER/AUTHORIZED OFFICIAL
Credential: PHD, MSOT
Phone: 989-493-3394