Provider Demographics
NPI:1700512407
Name:RISE THERAPY SERVICES LLC
Entity Type:Organization
Organization Name:RISE THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLYSON
Authorized Official - Middle Name:
Authorized Official - Last Name:MONARCH
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:267-225-6649
Mailing Address - Street 1:3908 KENSINGTON AVE STE 115
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19124-4400
Mailing Address - Country:US
Mailing Address - Phone:267-225-6649
Mailing Address - Fax:
Practice Address - Street 1:4001 LAWNDALE ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19124-5223
Practice Address - Country:US
Practice Address - Phone:267-239-7248
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-26
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)