# RISE UP BEHAVIORAL HEALTH SERVICES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1588215156
- **Authorized official:** HEATHER HUMPHREY APRN (SOLE MEMBER)
- **Authorized official phone:** (203) 217-1455

## Contact information

- **Practice address:** 76 WESTBURY PARK RD, WATERTOWN, CT 06795-2779
- **Practice address phone:** (860) 484-3781
- **Mailing address:** 84 PORTLAND ST, OAKVILLE, CT 06779-1032
- **Mailing address phone:** (203) 217-1455

## 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:** 09/25/2019
- **Last updated:** 09/25/2019