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NPI 1699580308

NPI 1699580308 : RISE AGAIN COUNSELING AND CONSULTING SERVICES, LLC : OKLAHOMA CITY, OK

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General NPI Number Information
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    NPI Number           |    1699580308
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    Entity Type          |    Organization 
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    Legal Business Name  |    RISE AGAIN COUNSELING AND CONSULTING SERVICES, LLC 
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Dates
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    Enumeration Date     |    02/10/2025
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    Last Update Date     |    02/10/2025
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Provider Practice Location Address
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    Address Line         |    1829 NE 36TH ST 
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    City                 |    OKLAHOMA CITY
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    State                |    OK
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    Zip                  |    73111-5232
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    Country              |    US
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    Telephone            |    405-492-7270
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1829 NE 36TH ST 
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    City                 |    OKLAHOMA CITY
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    State                |    OK
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    Zip                  |    73111-5232
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    Country              |    US
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    Telephone            |    405-492-7270
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    Fax                  |    
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Authorized Official
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    Title or Position    |    COUNSELOR
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    Name                 |    MRS. JANET JANETTE GEORGE 
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    Credential           |    LPC
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    Telephone            |    405-255-8546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) 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        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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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        |    261QM0855X
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    Taxonomy Name        |    Adolescent and Children Mental Health Clinic/Center
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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        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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