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Organization
RISE THERAPEUTIC COUNSELING LLC
Active
Organization
RISE THERAPEUTIC COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FLOANNA MAE BLACK (OWNER)
(313) 926-3567
Entity
Organization
Contact information
Practice address
10601 MOUNT VERNON ST APT 202, TAYLOR, MI 48180-6910
(313) 926-3567
Mailing address
10601 MOUNT VERNON ST APT 202, TAYLOR, MI 48180-6910
(313) 926-3567
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/18/2023
Last updated
07/31/2024
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