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General NPI Number Information
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NPI Number | 1194548651
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Entity Type | Organization
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Legal Business Name | RISE ABOVE WELLNESS LLC
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 900 GRAND AVE SUITE 5
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City | NEW HAVEN
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State | CT
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Zip | 06511
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Country | US
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Telephone | 203-868-0821
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Fax |
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Provider Business Mailing Address
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Address Line | 365 MATHER ST APT 200
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City | HAMDEN
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State | CT
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Zip | 06514-3137
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Country | US
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Telephone | 203-868-0821
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Fax |
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Authorized Official
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Title or Position | CLINICIAN
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Name | LIANNE GALELLA
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Credential | LPC
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Telephone | 203-889-7375
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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