Organization
RISING UP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEIGH-ANN LARSON LMHC-6519 MA (CEO)
(208) 207-0071
Entity
Organization
Contact information
Practice address
258 MAIN STREET, B-4, BUZZARDS BAY, MA 02532-3222
(508) 207-0071
(508) 452-6328
Mailing address
258 MAIN STREET, B-4, BUZZARDS BAY, MA 02532-3222
(508) 207-0071
(508) 452-6328
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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