=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750216008
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HER HOPE RISING INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/17/2026
-----------------------------------------------------
Last Update Date | 06/17/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 605 E BIRD ST
-----------------------------------------------------
City | MADILL
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73446-1631
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 580-677-2222
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 711 W HARRIS ST
-----------------------------------------------------
City | MADILL
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 73446-1049
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 580-677-2222
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | ALISHA LEANN STANLEY
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 580-677-2222
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 320800000X
-----------------------------------------------------
Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------