Healthcare Provider Details

I. General information

NPI: 1760995435
Provider Name (Legal Business Name): RISE COUNSELING AND CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2017
Last Update Date: 11/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 E WELLS AVE STE 1
PIERRE SD
57501-4000
US

IV. Provider business mailing address

812 LABARGE CT
PIERRE SD
57501-4730
US

V. Phone/Fax

Practice location:
  • Phone: 605-840-0326
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JILL VIEDT
Title or Position: COUNSELOR
Credential:
Phone: 605-840-0326