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Organization
RISE: COUNSELING GROUP AND HOLISTIC WELLNESS CENTER LLC
Active
Organization
RISE: COUNSELING GROUP AND HOLISTIC WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISABETH BOCK LMSW (CO-OWNER/CLINICAL SOCIAL WORKER)
(269) 352-2281
Entity
Organization
Contact information
Practice address
1818 W CENTRE AVE, PORTAGE, MI 49024-5332
(650) 796-5831
Mailing address
59207 RAVENNA DR, MATTAWAN, MI 49071-9620
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
225X00000X
Occupational Therapist
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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