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General NPI Number Information
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NPI Number | 1457946337
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Entity Type | Organization
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Legal Business Name | RISING ABOVE CIRCUMSTANCES LLC
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Dates
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Enumeration Date | 03/03/2021
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Last Update Date | 05/25/2021
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Provider Practice Location Address
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Address Line | 429 MURRAY ST FL 4
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City | ALEXANDRIA
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State | LA
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Zip | 71301-8300
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Country | US
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Telephone | 318-787-1480
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Fax |
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Provider Business Mailing Address
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Address Line | 410 CROSSOVER DR
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City | PINEVILLE
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State | LA
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Zip | 71360-6027
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Country | US
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Telephone | 318-787-1480
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER/CEO
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Name | CURTIS R LEWIS JR.
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Credential |
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Telephone | 318-787-1480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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