# RISE PSYCHOTHERAPY AND FAMILY SUPPORT SERVICES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013663384
- **Authorized official:** SICHANA JEAN (OWNER, LCSW)
- **Authorized official phone:** (228) 679-9738

## Contact information

- **Practice address:** 770 WATER ST STE 448, BILOXI, MS 39530-4220
- **Practice address phone:** (601) 402-4226
- **Mailing address:** 770 WATER ST STE 448, BILOXI, MS 39530-4220
- **Mailing address phone:** (228) 679-9738
- **Mailing address fax:** (228) 256-6008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 02/25/2022
- **Last updated:** 08/27/2024
