MEDICARE: ARISE PROFESSIONAL COUNSELING PLLC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1710852132
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARISE PROFESSIONAL COUNSELING PLLC

Provider Business Mailing Address
First Line	:	1505 PRAIRIE DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79925-2542
Country	:	US
Telephone Number	:	915-235-5211
Fax Number	:

Provider Business Practice Location Address
First Line	:	9440 VISCOUNT BLVD STE 101
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79925-7054
Country	:	US
Telephone Number	:	915-235-5211
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	MR. MARIANO GABRIEL SANCHEZ
Credential	:	LCSW, LCDC
Telephone Number	:	915-235-5211

Provider Enumeration Date	:	10/07/2025
Last Update Date	:	01/30/2026

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