Healthcare Provider Details

I. General information

NPI: 1497576839
Provider Name (Legal Business Name): ARISE AND SHINE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2024
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

252 TURNER POINTE RD
EASLEY SC
29642-9091
US

IV. Provider business mailing address

29600 LAURA RIDGE DR NW
HARVEST AL
35749-5901
US

V. Phone/Fax

Practice location:
  • Phone: 248-632-6448
  • Fax:
Mailing address:
  • Phone: 248-632-6448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. KWAYULYN RUCKER
Title or Position: COUNSELOR/OWNER
Credential: LPC
Phone: 248-632-6448