# ARISE WELLNESS, PLLC

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

## Provider details

- **NPI number:** 1023614161
- **Authorized official:** KORMASAH CURTIS LMFT (CEO, FOUNDER)
- **Authorized official phone:** (904) 802-2571

## Contact information

- **Practice address:** 7545 CENTURION PKWY STE 104, JACKSONVILLE, FL 32256-4118
- **Practice address phone:** (904) 452-5027
- **Practice address fax:** (904) 253-3492
- **Mailing address:** 7643 GATE PKWY STE 104-1197, JACKSONVILLE, FL 32256-2893
- **Mailing address phone:** (904) 802-2571

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 12/04/2020
- **Last updated:** 01/27/2021
