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General NPI Number Information
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NPI Number | 1467314500
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Entity Type | Organization
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Legal Business Name | LILITH RISING LLC
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Dates
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Enumeration Date | 11/26/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 5745 MAIN ST STE 205
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-2700
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Country | US
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Telephone | 727-600-3923
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Fax |
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Provider Business Mailing Address
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Address Line | 5745 MAIN ST STE 205
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-2700
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JENNIFER HEWITT
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Credential | OWNER
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Telephone | 727-600-3923
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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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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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