Provider Demographics
NPI:1770825176
Name:ARISE RECOVERY CONSULTANTS, LLC
Entity Type:Organization
Organization Name:ARISE RECOVERY CONSULTANTS, LLC
Other - Org Name:ARISE COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER/CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICE
Authorized Official - Middle Name:D
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:404-438-7736
Mailing Address - Street 1:41 FARMER ST STE 101
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30263-8672
Mailing Address - Country:US
Mailing Address - Phone:770-683-3150
Mailing Address - Fax:770-683-3151
Practice Address - Street 1:41 FARMER ST STE 101
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30263-8672
Practice Address - Country:US
Practice Address - Phone:770-683-3150
Practice Address - Fax:770-683-3151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-23
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)