Organization
RISE FROM THE ASHES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY A WEINTRAUB LCSW (OWNER)
(253) 306-6918
Entity
Organization
Contact information
Practice address
151 PORTOBELLO RD, RADCLIFF, KY 40160-8933
(502) 230-1656
Mailing address
151 PORTOBELLO RD, RADCLIFF, KY 40160-8933
(502) 230-1656
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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