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General NPI Number Information
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NPI Number | 1932688348
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Entity Type | Organization
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Legal Business Name | RISE COUNSELING AND WELLNESS CENTER
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Dates
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Enumeration Date | 08/08/2018
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 107 W MAIN ST
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City | TRINITY
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State | TX
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Zip | 75862-7586
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Country | US
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Telephone | 936-642-0061
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Fax | 936-715-3345
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Provider Business Mailing Address
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Address Line | 521 E HOUSTON ST
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City | LOVELADY
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State | TX
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Zip | 75851-2409
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Country | US
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Telephone | 936-642-0061
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. KATHLEEN MCMAHON
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Credential | MA, LPC, NCC
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Telephone | 936-577-0592
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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 | 73906
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License Number State | TX
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Taxonomy #2
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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 | 77316
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 73906
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License Number State | TX
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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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Taxonomy #5
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 73906
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License Number State | TX
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