Organization · NPI-2

Arise Therapy PLLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Spring, TX

NPI number1396469078

StatusActive

Last updated in NPPESSep 27, 2022

Details

NPI: 1396469078
Entity type: Organization (NPI-2)
Legal business name: Arise Therapy PLLC
Organization subpart: No
Enumeration date: Sep 27, 2022
Certification date: Sep 27, 2022
Last updated: Sep 27, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–	Yes
261QM0850X	Clinic/Center, Adult Mental Health	–	–
261QM0855X	Clinic/Center, Adolescent and Children Mental Health	–	–
261QR0405X	Clinic/Center, Rehabilitation, Substance Use Disorder	–	–

Practice location

24624 Interstate 45 N Ste 200
Spring, TX 77386-4084

Phone 832-910-9817

Mailing address

30711 Shady Trace Dr
Spring, TX 77386-3878

Phone 254-383-8499

Authorized official

Steven Loshun Moon
Lpc-A
2543838499

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