Provider Demographics
NPI:1437788049
Name:ARISE MENTAL HEALTH COUNSELING, LLC
Entity Type:Organization
Organization Name:ARISE MENTAL HEALTH COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:H
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:MSED, PLMHP, PLADC
Authorized Official - Phone:308-627-5321
Mailing Address - Street 1:2303 13TH AVE
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68845-5032
Mailing Address - Country:US
Mailing Address - Phone:308-244-4131
Mailing Address - Fax:308-244-4030
Practice Address - Street 1:2303 13TH AVE
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68845-5032
Practice Address - Country:US
Practice Address - Phone:308-244-4131
Practice Address - Fax:308-244-4030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-06
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE11729Medicaid