# RISE PSYCHIATRIC GROUP INC

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

## Provider details

- **NPI number:** 1013870575
- **Authorized official:** CLAY GRIMES APRN (VP/OWNER)
- **Authorized official phone:** (904) 747-3181

## Contact information

- **Practice address:** 145 BEACHWALK SHORE DR STE 102, ST JOHNS, FL 32259-1169
- **Practice address phone:** (904) 747-3181
- **Practice address fax:** (904) 491-2179
- **Mailing address:** 145 BEACHWALK SHORE DR STE 102, ST JOHNS, FL 32259-1169
- **Mailing address phone:** (904) 747-3181
- **Mailing address fax:** (904) 491-2179

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/03/2025
- **Last updated:** 12/03/2025