=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497695514
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RISE ABOVE MENTAL AND BEHAVIORAL HEALTH, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/30/2026
-----------------------------------------------------
Last Update Date | 03/30/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 431 SLATE BRANCH RD
-----------------------------------------------------
City | SOMERSET
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 42503-6104
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 606-312-7745
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 431 SLATE BRANCH RD
-----------------------------------------------------
City | SOMERSET
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 42503-6104
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 606-312-7745
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. MICHAEL WADE STURGILL
-----------------------------------------------------
Credential | APRN,PMHNP-C
-----------------------------------------------------
Telephone | 606-312-7745
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------