MEDICARE: RISE UP RECOVERY 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	:	1760208284
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RISE UP RECOVERY LLC

Provider Business Mailing Address
First Line	:	2036 KILLARNEY PL
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-9114
Country	:	US
Telephone Number	:	717-965-9847
Fax Number	:

Provider Business Practice Location Address
First Line	:	2036 KILLARNEY PL
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-9114
Country	:	US
Telephone Number	:	717-965-9847
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	SHANELLE BOBBITT
Credential	:	CADCR, CPSS
Telephone Number	:	717-965-9847

Provider Enumeration Date	:	11/30/2024
Last Update Date	:	11/30/2024

Similar Medicare Providers

1760720973 — MRS. ANGELINE STEPHANIE WALKER M.S., LPC
Practice Location Address:

3617 WAXAHACHIE AVE
CHARLOTTE, NC
28214-9114

Practice Phone: 347-821-2287
Practice Fax:

1073837530 — COMPASSIONATE CAREGIVERS OF THE CAROLINAS, INC
Practice Location Address:

9114 ATLAS CEDAR DR
CHARLOTTE, NC
28215-7130

Practice Phone: 704-309-4926
Practice Fax:

1104626480 — ASMA AYOUBI
Practice Location Address:

230 E W T HARRIS BLVD STE C15
CHARLOTTE, NC
28262-3539

Practice Phone: 980-888-2468
Practice Fax: 980-886-5066

1104131457 — PRECIOUS GIFTZ, INC.
Practice Location Address:

6524 QUARTERBRIDGE LN
CHARLOTTE, NC
28262-3572

Practice Phone: 980-201-0005
Practice Fax: 980-217-7991

1083572754 — MEGAN HAILEY HANDLER
Practice Location Address:

8800 N TRYON ST
CHARLOTTE, NC
28262-3300

Practice Phone: 704-863-6000
Practice Fax:

1144168790 — SUMAYYAH ELKHOULY
Practice Location Address:

230 E W T HARRIS BLVD STE C15
CHARLOTTE, NC
28262-3539

Practice Phone: 980-888-2468
Practice Fax:

Directions to “RISE UP RECOVERY LLC ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.