Organization
RISE PSYCHIATRIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE A SOINE PMHNP-BC (PRESIDENT)
(720) 448-8858
Entity
Organization
Contact information
Practice address
2020 CHAUCER LN, PONTE VEDRA, FL 32081-7074
(720) 448-8858
Mailing address
2020 CHAUCER LN, PONTE VEDRA, FL 32081-7074
(720) 448-8858
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/09/2023
Last updated
11/17/2024
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