Organization
RISE AND SHINE THERAPY COLLECTIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN PORTER MS,CCC-SLP (OWNER/SPEECH-LANGUAGE PATHOLOGIST)
(601) 810-3705
Entity
Organization
Contact information
Practice address
1044 SINGLETON DR, SUMMIT, MS 39666-8032
(601) 810-3705
Mailing address
1044 SINGLETON DR, SUMMIT, MS 39666-8032
(601) 810-3705
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/28/2023
Last updated
03/07/2023
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