Provider Demographics
NPI:1497487615
Name:WE RISE MENTAL HEALTH COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:WE RISE MENTAL HEALTH COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAPIRO-BERKOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:917-796-0106
Mailing Address - Street 1:224 GETZ AVENUE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312
Mailing Address - Country:US
Mailing Address - Phone:917-796-0106
Mailing Address - Fax:
Practice Address - Street 1:459 COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-5129
Practice Address - Country:US
Practice Address - Phone:917-796-0106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty