Provider Demographics
NPI:1750869129
Name:RISING HEART STUDIOS, LLC
Entity type:Organization
Organization Name:RISING HEART STUDIOS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:DE
Authorized Official - Last Name:PENSTON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC, ATR
Authorized Official - Phone:757-434-2644
Mailing Address - Street 1:8227 OLD OCEAN VIEW RD
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23518-2748
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8227 OLD OCEAN VIEW RD
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23518-2748
Practice Address - Country:US
Practice Address - Phone:757-434-2644
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-30
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty