Provider Demographics
NPI:1780306738
Name:RELIEF WITH RISSA
Entity type:Organization
Organization Name:RELIEF WITH RISSA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MIRISSA
Authorized Official - Middle Name:MERCEDES
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:240-264-7941
Mailing Address - Street 1:PSC 78 BOX 7226
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96326-0073
Mailing Address - Country:US
Mailing Address - Phone:240-264-7941
Mailing Address - Fax:
Practice Address - Street 1:1404 S MAIN CHAPEL WAY STE 104
Practice Address - Street 2:
Practice Address - City:GAMBRILLS
Practice Address - State:MD
Practice Address - Zip Code:21054-1860
Practice Address - Country:US
Practice Address - Phone:240-264-7941
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-16
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty