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General NPI Number Information
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NPI Number | 1013878446
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Entity Type | Organization
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Legal Business Name | ROOT AND RISE THERAPY SERVICES PLLC
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 01/11/2026
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Provider Practice Location Address
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Address Line | 230 REGENCY CTR
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City | COLLINSVILLE
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State | IL
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Zip | 62234-4635
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Country | US
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Telephone | 618-417-7387
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Fax |
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Provider Business Mailing Address
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Address Line | 3424 HARTZEL RD
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City | EDWARDSVILLE
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State | IL
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Zip | 62025-7501
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Country | US
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Telephone | 618-417-7387
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER BEECHLER
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Credential |
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Telephone | 618-406-9856
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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