| Rise Healing Center A Licensed Clinical Social Worker Corporation | |
|
5290 Overpass Rd Ste 220 Santa Barbara CA 93111-2051 | |
| (805) 221-8516 | |
| Not Available |
| Full Name | Rise Healing Center A Licensed Clinical Social Worker Corporation |
|---|---|
| Speciality | Social Worker |
| Location | 5290 Overpass Rd Ste 220, Santa Barbara, California |
| Authorized Official Name and Position | Elisabeth Pollack (CEO) |
| Authorized Official Contact | 8052218516 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rise Healing Center A Licensed Clinical Social Worker Corporation 1239 Richelle Ln Unit J Santa Barbara CA 93105-4648 Ph: () - | Rise Healing Center A Licensed Clinical Social Worker Corporation 5290 Overpass Rd Ste 220 Santa Barbara CA 93111-2051 Ph: (805) 221-8516 |
| NPI Number | 1558093039 |
|---|---|
| Provider Enumeration Date | 06/24/2022 |
| Last Update Date | 03/06/2025 |
| Certification Date | 03/06/2025 |
| Medicare PECOS PAC ID | 4880121425 |
|---|---|
| Medicare Enrollment ID | O20241220002257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558093039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Teresa S Eddy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275612814 PECOS PAC ID: 7113089228 Enrollment ID: I20081226000228 |
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