Healthcare Provider Details

I. General information

NPI: 1114767654
Provider Name (Legal Business Name): ARISE ABOVE CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2024
Last Update Date: 06/07/2024
Certification Date: 06/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 SOUTH 18TH STREET
GRAND FORKS ND
58201
US

IV. Provider business mailing address

610 SOUTH 18TH STREET
GRAND FORKS ND
58201
US

V. Phone/Fax

Practice location:
  • Phone: 701-757-0537
  • Fax: 701-757-4024
Mailing address:
  • Phone: 701-757-0537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: ROSINA TEYE APPIAH
Title or Position: FOUNDER/ OWNER
Credential: LMSW
Phone: 701-757-0537