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NPI 1881532364

NPI 1881532364 : RISE UP HEALTH AND WELLNESS, LLC : BRIDGEPORT, WV

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General NPI Number Information
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    NPI Number           |    1881532364
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    Entity Type          |    Organization 
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    Legal Business Name  |    RISE UP HEALTH AND WELLNESS, LLC 
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Dates
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    Enumeration Date     |    03/24/2026
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    Last Update Date     |    03/24/2026
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Provider Practice Location Address
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    Address Line         |    27 TROVATO ST STE 101 
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    City                 |    BRIDGEPORT
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    State                |    WV
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    Zip                  |    26330-7285
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    Country              |    US
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    Telephone            |    304-290-8134
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    27 TROVATO ST STE 101 
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    City                 |    BRIDGEPORT
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    State                |    WV
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    Zip                  |    26330-7285
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    Country              |    US
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    Telephone            |    304-290-8134
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER, APRN
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    Name                 |     DAISY LYNN CULVERHOUSE-PERRY 
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    Credential           |    APRN
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    Telephone            |    304-290-8134
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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        |    164W00000X
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    Taxonomy Name        |    Licensed Practical Nurse
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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        |    376K00000X
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    Taxonomy Name        |    Nurse's Aide
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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        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    
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    License Number State |    
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