Provider Demographics
NPI:1275394207
Name:ARISING BEHAVIORAL HEALTH AND SERVICES LLC
Entity Type:Organization
Organization Name:ARISING BEHAVIORAL HEALTH AND SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMILIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALCEMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-642-4374
Mailing Address - Street 1:14505 JAYSTONE DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-7403
Mailing Address - Country:US
Mailing Address - Phone:301-792-9424
Mailing Address - Fax:
Practice Address - Street 1:14505 JAYSTONE DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20905-7403
Practice Address - Country:US
Practice Address - Phone:301-792-9424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty