MEDICARE: RISE ABOVE THERAPEUTIC SOLUTIONS 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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1952246225
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RISE ABOVE THERAPEUTIC SOLUTIONS PLLC

Provider Business Mailing Address
First Line	:	1420 MARVIN RD NE STE C
Second Line	:	#305
City	:	LACEY
State	:	WA
Zip	:	98516-3876
Country	:	US
Telephone Number	:	360-362-0045
Fax Number	:

Provider Business Practice Location Address
First Line	:	1332 GLACIER CT SE
Second Line	:
City	:	LACEY
State	:	WA
Zip	:	98503-1906
Country	:	US
Telephone Number	:	360-362-0045
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER/OWNER
Name	:	MR. CAMERON DOUGLAS MILLIKIN
Credential	:	MSW, LCSW
Telephone Number	:	360-362-0045

Provider Enumeration Date	:	04/22/2026
Last Update Date	:	04/22/2026

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