Organization
ARISE MENTAL HEALTH CONSULTING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTINA TALBOT LCSW (OWNER/THERAPIST)
(321) 431-9334
Entity
Organization
Contact information
Practice address
856 ORANGE BLOSSOM DR, MELBOURNE, FL 32935-6951
(321) 431-9334
Mailing address
856 ORANGE BLOSSOM DR, MELBOURNE, FL 32935-6951
(321) 431-9334
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003938900
—
FL
Enumeration date
08/25/2022
Last updated
08/25/2022
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