| Rise Psychotherapy And Family Support Services | |
|
4904 Chamberlain Ave Gulfport MS 39507-4345 | |
| (601) 402-4226 | |
| Not Available |
| Full Name | Rise Psychotherapy And Family Support Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4904 Chamberlain Ave, Gulfport, Mississippi |
| Authorized Official Name and Position | Sichana Jean (OWNER, LCSW) |
| Authorized Official Contact | 6014024226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rise Psychotherapy And Family Support Services 4904 Chamberlain Ave Gulfport MS 39507-4345 Ph: () - | Rise Psychotherapy And Family Support Services 4904 Chamberlain Ave Gulfport MS 39507-4345 Ph: (601) 402-4226 |
| NPI Number | 1013663384 |
|---|---|
| Provider Enumeration Date | 02/25/2022 |
| Last Update Date | 08/09/2022 |
| Certification Date | 08/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013663384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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