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Organization

RISE THERAPEUTIC SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GARY ROBERTS JR. LPC (OWNER)
(918) 901-7512
Entity
Organization

Contact information

Practice address
5400 CHARLES PAGE BLVD, TULSA, OK 74127-7548
(918) 901-7512
(918) 900-0304
Mailing address
5400 CHARLES PAGE BLVD, TULSA, OK 74127-7548
(918) 901-7512
(918) 900-0304

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LPC06532
LPC LICENSE
OK
Enumeration date
08/23/2022
Last updated
08/23/2022
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Product
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  • Eligibility checks
  • EDI platform