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NPI Code Detail

MEDICARE: RISING DEVELOPMENT CENTER LLC

MEDICARE: RISING DEVELOPMENT CENTER 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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1740125004
Entity Type Code : Organization
Provider Name (Legal Business Name) : RISING DEVELOPMENT CENTER LLC
Provider Business Mailing Address
First Line : 11258 HIGHWAY FORTY SEVEN
Second Line :
City : CHASE CITY
State : VA
Zip : 23924-3402
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11258 HIGHWAY FORTY SEVEN
Second Line :
City : CHASE CITY
State : VA
Zip : 23924-3402
Country : US
Telephone Number : 434-210-9239
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JACQUELINE BARNETTE
Credential :
Telephone Number : 434-210-9239
Provider Enumeration Date : 04/22/2026
Last Update Date : 04/22/2026

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Directions to “RISING DEVELOPMENT CENTER LLC ” Practice Location

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