MEDICARE: ARISE 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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1881406098
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARISE COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	3472 RESEARCH PKWY STE 104-403
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-1066
Country	:	US
Telephone Number	:	719-237-9129
Fax Number	:

Provider Business Practice Location Address
First Line	:	3472 RESEARCH PKWY STE 104-403
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-1066
Country	:	US
Telephone Number	:	719-237-9129
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BARBARA PANNELL
Credential	:
Telephone Number	:	719-237-9129

Provider Enumeration Date	:	01/23/2025
Last Update Date	:	01/23/2025

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