Provider Demographics
NPI:1639647423
Name:ARISE COUNSELING CORP
Entity Type:Organization
Organization Name:ARISE COUNSELING CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ORLANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:321-948-2104
Mailing Address - Street 1:6900 TAVISTOCK LAKES BLVD STE 425
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827-7589
Mailing Address - Country:US
Mailing Address - Phone:407-247-2859
Mailing Address - Fax:
Practice Address - Street 1:8615 COMMODITY CIR STE 12
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-9072
Practice Address - Country:US
Practice Address - Phone:321-948-2104
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-09
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty