Provider Demographics
NPI:1093413072
Name:ARISE CLERMONT LLC
Entity Type:Organization
Organization Name:ARISE CLERMONT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SEBNEM
Authorized Official - Middle Name:
Authorized Official - Last Name:ARAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-756-2703
Mailing Address - Street 1:1786 MARKHAM GLEN CIR
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-2797
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1786 MARKHAM GLEN CIR
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-2797
Practice Address - Country:US
Practice Address - Phone:407-756-2703
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty