Rise Psychotherapy And Family Support Services, PLLC
Social Worker, Clinical in Biloxi, MS. Organization (NPI-2).
NPI number1013663384
StatusActive
Last updated in NPPESAug 27, 2024
Details
- NPI
- 1013663384
- Entity type
- Organization (NPI-2)
- Legal business name
- Rise Psychotherapy And Family Support Services, PLLC
- Organization subpart
- No
- Enumeration date
- Feb 25, 2022
- Certification date
- Aug 27, 2024
- Last updated
- Aug 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
770 Water St Ste 448Biloxi, MS 39530-4220
Phone 601-402-4226
Mailing address
770 Water St Ste 448Biloxi, MS 39530-4220
Phone 228-679-9738 · Fax 228-256-6008
Other practice locations
4904 Chamberlain Ave
Gulfport, MS 39507-4345
Gulfport, MS 39507-4345
Phone 601-402-4226
Authorized official
Sichana Jean
Owner, Lcsw
2286799738
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