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General NPI Number Information
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NPI Number | 1689297483
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Entity Type | Organization
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Legal Business Name | RISE COUNSELING GROUP, LLC
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Dates
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Enumeration Date | 05/27/2020
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Last Update Date | 09/29/2022
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Provider Practice Location Address
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Address Line | 2035 HOGBACK RD STE 100
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City | ANN ARBOR
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State | MI
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Zip | 48105-9487
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Country | US
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Telephone | 734-926-9950
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Fax | 734-215-9353
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Provider Business Mailing Address
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Address Line | 180 LITTLE LAKE DR STE 3
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City | ANN ARBOR
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State | MI
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Zip | 48103-6219
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Country | US
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Telephone | 734-926-5995
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MR. MOHAMED ALSAIDY
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Credential | LMSW
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Telephone | 734-926-5995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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