MEDICARE: RISE AND SHINE BEHAVIORAL SERVICES LLC

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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1336001148
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RISE AND SHINE BEHAVIORAL SERVICES LLC

Provider Business Mailing Address
First Line	:	5668 STRAWBERRY LAKES CIR
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-6504
Country	:	US
Telephone Number	:	332-277-5022
Fax Number	:

Provider Business Practice Location Address
First Line	:	5668 STRAWBERRY LAKES CIR
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-6504
Country	:	US
Telephone Number	:	332-277-5022
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ARIELLE BURGOS
Credential	:
Telephone Number	:	332-277-5022

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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