Provider Demographics
NPI:1689297483
Name:RISE COUNSELING GROUP, LLC
Entity Type:Organization
Organization Name:RISE COUNSELING GROUP, LLC
Other - Org Name:RISE COUNSELING CENTER OF SOUTHEAST MICHIGAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:ALSAIDY
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:734-926-5995
Mailing Address - Street 1:180 LITTLE LAKE DR STE 3
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-6219
Mailing Address - Country:US
Mailing Address - Phone:734-926-5995
Mailing Address - Fax:
Practice Address - Street 1:2035 HOGBACK RD STE 100
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-9487
Practice Address - Country:US
Practice Address - Phone:734-926-9950
Practice Address - Fax:734-215-9353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-27
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty