# RISING SWELL MENTAL HEALTH LLC

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

## Provider details

- **NPI number:** 1376261446
- **Authorized official:** MARK SEDLAK APN (OWNER/APN)
- **Authorized official phone:** (732) 784-8272

## Contact information

- **Practice address:** 1 BETHANY RD STE 69, HAZLET, NJ 07730-1668
- **Practice address phone:** (732) 784-8272
- **Mailing address:** 23 BRISCOE TER, HAZLET, NJ 07730-1127
- **Mailing address phone:** (732) 784-8272

## 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:** 08/16/2022
- **Last updated:** 08/16/2022