Organization
RISING COLLECTIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAZMYN RAE GRAY CPFS (CHIEF ADVANCEMENT OFFICER)
(303) 999-5196
Entity
Organization
Contact information
Practice address
11650 MARTIN LUTHER KING BLVD APT 325, DENVER, CO 80238-4264
(303) 999-5196
Mailing address
4952 E 62ND AVE UNIT A-3167, COMMERCE CITY, CO 80022-3254
(303) 999-5196
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
175T00000X
Peer Specialist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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