Provider Demographics
NPI:1538657879
Name:ARISING HOPE
Entity Type:Organization
Organization Name:ARISING HOPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ERRERA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:678-727-3590
Mailing Address - Street 1:3600 CRESTVIEW DR SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30082-3430
Mailing Address - Country:US
Mailing Address - Phone:678-727-3590
Mailing Address - Fax:
Practice Address - Street 1:3193 HOWELL MILL RD NW STE 225
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327-2100
Practice Address - Country:US
Practice Address - Phone:770-293-1950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-23
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA007249261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)