Organization Name: | RISE ABOVE IT LLC |
NPI Number: | 1073971313 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARMEN MAY (THERAPIST) |
Mailing Address: | 5000 Austell Powder Springs Rd Ste. 286 Austell |
State: | GA US |
Postal Code: | 301062427 |
Phone Number: | 7703131773 |
Fax Number: | |
NPI Enumeration Date: | 02/02/2016 |
NPI Last Update Date: | 02/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 004926 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |