# TEMPLAR RISING LLC

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

## Provider details

- **NPI number:** 1619405693
- **Authorized official:** MR. HOTSE BART LANGERAAR (CEO)
- **Authorized official phone:** (954) 909-0540

## Contact information

- **Practice address:** 275 COMMERCIAL BLVD., SUITE \#200, LAUDERDALE BY THE SEA, FL 33308
- **Practice address phone:** (954) 909-0540
- **Practice address fax:** (954) 368-7405
- **Mailing address:** 275 COMMERCIAL BLVD., SUITE \#200, LAUDERDALE BY THE SEA, FL 33308
- **Mailing address phone:** (954) 909-0540
- **Mailing address fax:** (954) 368-7405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/02/2017
- **Last updated:** 06/25/2019
