# E-RISE BEHAVIORAL HEALTH LLC

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

## Provider details

- **NPI number:** 1528971231
- **Authorized official:** EDITH NKEZE PMHNP (OWNER)
- **Authorized official phone:** (227) 770-0744

## Contact information

- **Practice address:** 12 RAM LN, STAFFORD, VA 22554-5652
- **Practice address phone:** (227) 770-0744
- **Mailing address:** 52 TOWNES PL, FREDERICKSBURG, VA 22405-2093
- **Mailing address phone:** (227) 770-0744

## 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:** 09/24/2026
- **Last updated:** 09/24/2026
