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Organization

CENTER TO RISE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE BUTLER (ADMINISTRATOR)
(817) 987-2651
Entity
Organization

Contact information

Practice address
600 W PARK ROW DR STE A, ARLINGTON, TX 76010-2559
(817) 987-2651
Mailing address
600 W PARK ROW DR STE A, ARLINGTON, TX 76010-2559
(817) 987-2651

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP1600X
Pastoral Counselor
101YP2500X
Professional Counselor
103K00000X
Behavior Analyst
104100000X
Social Worker
1041C0700X
Clinical Social Worker
106S00000X
Behavior Technician
133N00000X
Nutritionist
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
261Q00000X
Clinic/Center
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
374K00000X
Religious Nonmedical Practitioner

Other

Enumeration date
03/07/2022
Last updated
03/07/2022
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