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General NPI Number Information
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NPI Number | 1073362257
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Entity Type | Organization
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Legal Business Name | RISE THERAPY LLC
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Dates
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Enumeration Date | 05/18/2024
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 1611 WOODLAWN RD
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City | GREENWOOD
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State | SC
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Zip | 29649-9419
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Country | US
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Telephone | 864-214-5374
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 292
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City | GREENWOOD
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State | SC
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Zip | 29648
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Country | US
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Telephone | 864-507-9149
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Fax | 864-778-5592
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Authorized Official
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Title or Position | LPC
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Name | CHRISTY JORDAN-WILLIAMS
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Credential |
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Telephone | 864-507-9149
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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