Provider Demographics
NPI:1225410731
Name:RISE MENTAL HEALTH COUNSELING, PLLC
Entity Type:Organization
Organization Name:RISE MENTAL HEALTH COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:FEI
Authorized Official - Middle Name:KWAN
Authorized Official - Last Name:LI
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:516-361-9716
Mailing Address - Street 1:89 WILLETS DR
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-3915
Mailing Address - Country:US
Mailing Address - Phone:516-361-9716
Mailing Address - Fax:
Practice Address - Street 1:28 E OLD COUNTRY RD
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-4292
Practice Address - Country:US
Practice Address - Phone:516-361-9716
Practice Address - Fax:718-359-5300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-19
Last Update Date:2015-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004810251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health