Organization
RISE THERAPEUTIC COUNSELING
Active
Other names
FMB Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FLOANNA M BLACK MA (OWNER/CEO)
(313) 926-3567
Entity
Organization
Contact information
Practice address
3200 GREENFIELD RD STE 300, DEARBORN, MI 48120-1805
(313) 926-3567
Mailing address
10601 MOUNT VERNON ST APT 202, TAYLOR, MI 48180-6910
(313) 926-3567
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
06/26/2021
Last updated
09/12/2023
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