Provider Demographics
NPI:1497576839
Name:ARISE AND SHINE COUNSELING
Entity type:Organization
Organization Name:ARISE AND SHINE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KWAYULYN
Authorized Official - Middle Name:
Authorized Official - Last Name:RUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:248-632-6448
Mailing Address - Street 1:29600 LAURA RIDGE DR NW
Mailing Address - Street 2:
Mailing Address - City:HARVEST
Mailing Address - State:AL
Mailing Address - Zip Code:35749-5901
Mailing Address - Country:US
Mailing Address - Phone:248-632-6448
Mailing Address - Fax:
Practice Address - Street 1:29600 LAURA RIDGE DR NW
Practice Address - Street 2:
Practice Address - City:HARVEST
Practice Address - State:AL
Practice Address - Zip Code:35749-5901
Practice Address - Country:US
Practice Address - Phone:248-632-6448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-18
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty