| Rising Up, Llc | |
|
3315 Roosevelt Rd Ste 200a Saint Cloud MN 56301-6269 | |
| (320) 229-4069 | |
| (320) 229-4071 |
| Full Name | Rising Up, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3315 Roosevelt Rd Ste 200a, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Cindy A.t. Happe (OWNER/THERAPIST) |
| Authorized Official Contact | 3202678704 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rising Up, Llc 3315 Roosevelt Rd Ste 200a Saint Cloud MN 56301-6269 Ph: (320) 229-4069 | Rising Up, Llc 3315 Roosevelt Rd Ste 200a Saint Cloud MN 56301-6269 Ph: (320) 229-4069 |
| NPI Number | 1225372832 |
|---|---|
| Provider Enumeration Date | 11/20/2012 |
| Last Update Date | 11/20/2012 |
| Medicare PECOS PAC ID | 6406001486 |
|---|---|
| Medicare Enrollment ID | O20130222000322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225372832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 15109 (Minnesota) | Primary |
| Provider Name | Janelle J Hinchley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427181437 PECOS PAC ID: 6002890902 Enrollment ID: I20040617000510 |
| Provider Name | Cindy A Happe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720037575 PECOS PAC ID: 5991877144 Enrollment ID: I20080702000447 |
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