Provider Demographics
NPI: | 1770156531 |
---|---|
Name: | RISE-UP TOGETHER MENTAL HEALTH COUNSELING |
Entity type: | Organization |
Organization Name: | RISE-UP TOGETHER MENTAL HEALTH COUNSELING |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CO-OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | LOURDYES |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | ALGER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | LMHC |
Authorized Official - Phone: | 646-373-0904 |
Mailing Address - Street 1: | 156 CENTRE AVE APT 2G |
Mailing Address - Street 2: | |
Mailing Address - City: | NEW ROCHELLE |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 10805-2722 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 646-373-0904 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 444 E BOSTON POST RD STE 206C |
Practice Address - Street 2: | |
Practice Address - City: | MAMARONECK |
Practice Address - State: | NY |
Practice Address - Zip Code: | 10543-3704 |
Practice Address - Country: | US |
Practice Address - Phone: | 646-504-8207 |
Practice Address - Fax: | 347-332-4145 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2021-07-20 |
Last Update Date: | 2021-07-20 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Single Specialty |