Healthcare Provider Details

I. General information

NPI: 1558283374
Provider Name (Legal Business Name): RISING STAR SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 W MEADOWVIEW RD STE 170
GREENSBORO NC
27407-3409
US

IV. Provider business mailing address

2211 W MEADOWVIEW RD STE 170
GREENSBORO NC
27407-3409
US

V. Phone/Fax

Practice location:
  • Phone: 336-291-8276
  • Fax:
Mailing address:
  • Phone: 336-291-8276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: VICTOR JOHN TEASLEY SR.
Title or Position: CEO
Credential:
Phone: 336-387-8186