NPI Code Details Logo

NPI 1154239630

NPI 1154239630 : RISE BEYOND PLLC : VANCOUVER, WA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1154239630
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    RISE BEYOND PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/27/2026
-----------------------------------------------------
    Last Update Date     |    08/27/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    101 E 8TH ST STE 110 
-----------------------------------------------------
    City                 |    VANCOUVER
-----------------------------------------------------
    State                |    WA
-----------------------------------------------------
    Zip                  |    98660-3294
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    206-569-5977
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    9116 GRAVELLY LAKE DR SW STE 107 PMB 1664
-----------------------------------------------------
    City                 |    LAKEWOOD
-----------------------------------------------------
    State                |    WA
-----------------------------------------------------
    Zip                  |    98499-3148
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    206-569-5977
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    FOUNDER
-----------------------------------------------------
    Name                 |     ISABELLA  KOEPF 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    206-569-5977
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.