Provider Demographics
NPI:1225765613
Name:ARISE EMOTION AND MENTAL HEALTH, PLLC
Entity Type:Organization
Organization Name:ARISE EMOTION AND MENTAL HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:C
Authorized Official - Last Name:WATERS
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:823-447-4055
Mailing Address - Street 1:402 OLD US 74 HWY
Mailing Address - Street 2:
Mailing Address - City:BOSTIC
Mailing Address - State:NC
Mailing Address - Zip Code:28018-6781
Mailing Address - Country:US
Mailing Address - Phone:828-447-4055
Mailing Address - Fax:
Practice Address - Street 1:172 OAK ST STE C
Practice Address - Street 2:
Practice Address - City:SPINDALE
Practice Address - State:NC
Practice Address - Zip Code:28160-1586
Practice Address - Country:US
Practice Address - Phone:828-278-8226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty