| Rise Mind Therapy Llc | |
|
1245 David Porter Rd Apt B Key West FL 33040-7784 | |
| (305) 680-6581 | |
| Not Available |
| Full Name | Rise Mind Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1245 David Porter Rd Apt B, Key West, Florida |
| Authorized Official Name and Position | Reyna Lynn Keller (MANAGER) |
| Authorized Official Contact | 3056806581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rise Mind Therapy Llc 7940 Front Beach Rd Ste 95267 Panama City Beach FL 32407-4817 Ph: (305) 680-6581 | Rise Mind Therapy Llc 1245 David Porter Rd Apt B Key West FL 33040-7784 Ph: (305) 680-6581 |
| NPI Number | 1265294102 |
|---|---|
| Provider Enumeration Date | 01/26/2024 |
| Last Update Date | 01/26/2024 |
| Certification Date | 01/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265294102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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