Provider Demographics
NPI:1679006456
Name:RISE COUNSELING PLLC
Entity Type:Organization
Organization Name:RISE COUNSELING PLLC
Other - Org Name:RISE COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/LMFT
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:GAMBLE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:806-773-2545
Mailing Address - Street 1:8008 SLIDE RD STE 31
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-2828
Mailing Address - Country:US
Mailing Address - Phone:806-300-0898
Mailing Address - Fax:
Practice Address - Street 1:8008 SLIDE RD STE 31
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-2828
Practice Address - Country:US
Practice Address - Phone:806-300-0898
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-07
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62704101YP2500X
TX68178101YP2500X
TX5139106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty