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Organization

ARISE THERAPY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEVEN LOSHUN MOON MA (LPC-A)
(254) 383-8499
Entity
Organization

Contact information

Practice address
24624 INTERSTATE 45 N STE 200, SPRING, TX 77386-4084
(832) 910-9817
Mailing address
30711 SHADY TRACE DR, SPRING, TX 77386-3878
(254) 383-8499

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center

Other

Enumeration date
09/27/2022
Last updated
09/27/2022
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