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Organization

SILVER RISING THERAPY LLC

Active
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Organization

SILVER RISING THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LESLIE LUCKEY (ADMINISTRATOR)
(630) 423-5920
Entity
Organization

Contact information

Practice address
15W150 S FRONTAGE RD, BURR RIDGE, IL 60527-6956
(765) 860-7198
Mailing address
4014 GERSHAM CT, SPRING HILL, TN 37174-8520

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TP0814X
Psychoanalysis Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—

Other

Enumeration date
07/31/2025
Last updated
10/16/2025
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