Provider Demographics
NPI:1811738610
Name:I RISE COUNSELING AND CONSULTING PLLC
Entity type:Organization
Organization Name:I RISE COUNSELING AND CONSULTING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWER - PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:KATONYIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:MA LPC
Authorized Official - Phone:858-588-3340
Mailing Address - Street 1:5900 BALCONES DR # 8048
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4257
Mailing Address - Country:US
Mailing Address - Phone:858-588-3340
Mailing Address - Fax:877-857-4762
Practice Address - Street 1:700 W CENTER ST APT 51
Practice Address - Street 2:
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75116-4537
Practice Address - Country:US
Practice Address - Phone:858-588-3340
Practice Address - Fax:877-857-4762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-05
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty