Provider Demographics
NPI:1003441577
Name:RISE CONSULTIN AND COUNSELING LLC
Entity Type:Organization
Organization Name:RISE CONSULTIN AND COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/LEAD CLINICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:MONAGHAN
Authorized Official - Suffix:III
Authorized Official - Credentials:LPC, LAC, CPC, LCADC
Authorized Official - Phone:702-389-0024
Mailing Address - Street 1:6228 DESERT HAVEN RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89130-3706
Mailing Address - Country:US
Mailing Address - Phone:702-389-0024
Mailing Address - Fax:
Practice Address - Street 1:6228 DESERT HAVEN RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130-3706
Practice Address - Country:US
Practice Address - Phone:702-389-0024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-05
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty