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Organization
LILITH RISING LLC
Active
Organization
LILITH RISING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HEWITT OWNER (CEO)
(727) 600-3923
Entity
Organization
Contact information
Practice address
5745 MAIN ST STE 205, NEW PORT RICHEY, FL 34652-2700
(727) 600-3923
Mailing address
5745 MAIN ST STE 205, NEW PORT RICHEY, FL 34652-2700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
363AM0700X
Medical Physician Assistant
—
NULL
363AM0700X
Medical Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/26/2025
Last updated
11/26/2025
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