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NPI Code Detail

MEDICARE: RISE WELLNESS GROUP

MEDICARE: RISE WELLNESS GROUP
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
1101YP2500XProfessional Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
175799OTHERTXLPC LICENSE

General Provider Information

NPI Number : 1942939459
Entity Type Code : Organization
Provider Name (Legal Business Name) : RISE WELLNESS GROUP
Provider Business Mailing Address
First Line : 8431 KATY FWY STE 101
Second Line :
City : HOUSTON
State : TX
Zip : 77024-1946
Country : US
Telephone Number : 713-955-4302
Fax Number :
Provider Business Practice Location Address
First Line : 8431 KATY FWY STE 101
Second Line :
City : HOUSTON
State : TX
Zip : 77024-1946
Country : US
Telephone Number : 713-955-4302
Fax Number :
Authorized Official
Title or Position : PARTNER
Name : ALICIA GILPIN
Credential : LPC
Telephone Number : 713-446-7698
Provider Enumeration Date : 06/09/2022
Last Update Date : 06/09/2022

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Directions to “RISE WELLNESS GROUP ” Practice Location

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