# HIGH RISE WELLNESS SERVICES

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

## Provider details

- **NPI number:** 1366985764
- **Authorized official:** CARMEN LIDIA BOLIVAR LMHC, MBA, NCC (CEO)
- **Authorized official phone:** (305) 707-8615

## Contact information

- **Practice address:** 9206 HOLLOW BEND DR, HUNTERSVILLE, NC 28078-5095
- **Practice address phone:** (305) 364-5570
- **Mailing address:** 8250 NW 27TH ST, SUITE \#310, DORAL, FL 33122-1904
- **Mailing address phone:** (305) 364-5570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |
| 225700000X | Massage Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | — | — |

## Other

- **Enumeration date:** 12/02/2016
- **Last updated:** 03/20/2024
