Provider Demographics
NPI:1235677337
Name:RISE ABOVE: MARRIAGE AND FAMILY THERAPY
Entity Type:Organization
Organization Name:RISE ABOVE: MARRIAGE AND FAMILY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:M
Authorized Official - Last Name:BEEHN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:858-386-9973
Mailing Address - Street 1:7945 HUMMINGBIRD LN
Mailing Address - Street 2:APT B
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-2783
Mailing Address - Country:US
Mailing Address - Phone:858-386-9973
Mailing Address - Fax:619-839-3168
Practice Address - Street 1:7945 HUMMINGBIRD LN
Practice Address - Street 2:APT B
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-2783
Practice Address - Country:US
Practice Address - Phone:858-386-9973
Practice Address - Fax:619-839-3168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-08
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA96209106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty