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General NPI Number Information
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NPI Number | 1003591298
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Entity Type | Organization
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Legal Business Name | R.I.S.E. COUNSELING CENTER, LLC
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Dates
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Enumeration Date | 06/16/2023
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Last Update Date | 06/16/2023
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Provider Practice Location Address
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Address Line | 1551 JENNINGS MILL RD UNIT 2200A
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City | WATKINSVILLE
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State | GA
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Zip | 30677-7270
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Country | US
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Telephone | 706-431-5244
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Fax |
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Provider Business Mailing Address
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Address Line | 1551 JENNINGS MILL RD UNIT 2200A
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City | WATKINSVILLE
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State | GA
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Zip | 30677-7270
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Country | US
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Telephone | 706-431-5244
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | KRISTI MARIE ATKINS
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Credential |
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Telephone | 706-431-5244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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