| Rise Therapy Llc | |
|
1611 Woodlawn Rd Greenwood SC 29649-9419 | |
| (864) 214-5374 | |
| Not Available |
| Full Name | Rise Therapy Llc |
|---|---|
| Speciality | Counselor |
| Location | 1611 Woodlawn Rd, Greenwood, South Carolina |
| Authorized Official Name and Position | Christy Jordan-williams (LPC) |
| Authorized Official Contact | 8645079149 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rise Therapy Llc Po Box 292 Greenwood SC 29648 Ph: (864) 507-9149 | Rise Therapy Llc 1611 Woodlawn Rd Greenwood SC 29649-9419 Ph: (864) 214-5374 |
| NPI Number | 1073362257 |
|---|---|
| Provider Enumeration Date | 05/18/2024 |
| Last Update Date | 07/29/2025 |
| Certification Date | 07/29/2025 |
| Medicare PECOS PAC ID | 5597291302 |
|---|---|
| Medicare Enrollment ID | O20241203004539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073362257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Christy L Jordan-williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336730621 PECOS PAC ID: 6406382217 Enrollment ID: I20241203004601 |
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