MEDICARE: ARISE ABOVE

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1356275069
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARISE ABOVE

Provider Business Mailing Address
First Line	:	1260 BAYLOR AVE
Second Line	:
City	:	VINELAND
State	:	NJ
Zip	:	08360-4404
Country	:	US
Telephone Number	:	856-209-2258
Fax Number	:

Provider Business Practice Location Address
First Line	:	1260 BAYLOR AVE
Second Line	:
City	:	VINELAND
State	:	NJ
Zip	:	08360-4404
Country	:	US
Telephone Number	:	856-209-2258
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	YADID CHANIZ-RICO
Credential	:	LCSW
Telephone Number	:	856-209-2258

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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Directions to “ARISE ABOVE ” Practice Location

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