| Rising Hope Therapy LLC | |
|
200 Mason St Ste 11 Onalaska WI 54650-7061 | |
| (608) 765-5501 | |
| Not Available |
| Full Name | Rising Hope Therapy LLC |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 200 Mason St Ste 11, Onalaska, Wisconsin |
| Authorized Official Name and Position | Jennifer a Nichols (THERAPIST) |
| Authorized Official Contact | 6087696784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rising Hope Therapy LLC 200 Mason St Ste 11 Onalaska WI 54650-7061 | Rising Hope Therapy LLC 200 Mason St Ste 11 Onalaska WI 54650-7061 Ph: (608) 765-5501 |
| NPI Number | 1205461969 |
|---|---|
| Provider Enumeration Date | 03/03/2020 |
| Last Update Date | 03/03/2020 |
| Certification Date | 03/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205461969 | NPI | - | NPPES |
| 16360-131 | Other | WI | STATE OF WISCONSIN SAC LICENSURE |
| 4346-226 | Other | WI | STATE OF WISCONSIN LPC LICENSURE |
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