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General NPI Number Information
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NPI Number | 1639730955
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Entity Type | Organization
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Legal Business Name | RISE MENTAL HEALTH AND WELLNESS
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Dates
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Enumeration Date | 06/26/2019
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 735 W COLUMBIA AVE
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City | MONTICELLO
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State | KY
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Zip | 42633-1627
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Country | US
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Telephone | 606-396-3488
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Fax | 855-223-4941
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Provider Business Mailing Address
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Address Line | 735 W COLUMBIA AVE
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City | MONTICELLO
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State | KY
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Zip | 42633-1627
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Country | US
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Telephone | 606-396-3488
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Fax | 855-223-4941
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Authorized Official
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Title or Position | OWNER
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Name | ASHLEY BRAKE
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Credential | LPCC
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Telephone | 606-396-3488
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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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