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NPI Code Detail

MEDICARE: WISDOM ON THE RISE

MEDICARE: WISDOM ON THE RISE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1144160946
Entity Type Code : Organization
Provider Name (Legal Business Name) : WISDOM ON THE RISE
Provider Business Mailing Address
First Line : 2702 BRAMBLETON AVE SW
Second Line :
City : ROANOKE
State : VA
Zip : 24015-4308
Country : US
Telephone Number : 540-492-0773
Fax Number :
Provider Business Practice Location Address
First Line : 2702 BRAMBLETON AVE SW
Second Line :
City : ROANOKE
State : VA
Zip : 24015-4308
Country : US
Telephone Number : 540-492-0773
Fax Number :
Authorized Official
Title or Position : OWNER
Name : GAIL LEIGH EVANS
Credential : LPC
Telephone Number : 540-492-0773
Provider Enumeration Date : 03/31/2026
Last Update Date : 03/31/2026

Similar Medicare Providers

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Directions to “WISDOM ON THE RISE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.