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General NPI Number Information
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NPI Number | 1336004993
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Entity Type | Organization
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Legal Business Name | RISE UP MENTAL HEALTH & WELLNESS SERVICES, LLC
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 200 CROWN OAK CENTRE DR
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City | LONGWOOD
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State | FL
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Zip | 32750-6148
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Country | US
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Telephone | 407-906-7392
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 521221
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City | LONGWOOD
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State | FL
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Zip | 32752-1221
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Country | US
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Telephone | 407-906-7392
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Fax |
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Authorized Official
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Title or Position | MGR
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Name | NATALIE CHRISTINE DECKER
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Credential | LMHC
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Telephone | 407-906-7392
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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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