RISE UP LLC (NPI# 1811404098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811404098 |
| Entity Type | Organization |
| Organization Name | RISE UP LLC |
| Practice Address |
153 Park Row Ste 103 Brunswick ME 04011-2053 |
| Practice Telephone | 2075043587 |
| Mailing Telephone | 2075043587 |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-01-09 |
| Authorized Official Name | JESSICA PACKARD (OWNER) |
| Authorized Official Telephone | 2075043587 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
CC4601 | ME | Ambulatory Health Care Facilities |
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
CC4601 | ME | Ambulatory Health Care Facilities |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
CC4601 | ME | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | RISE UP LLC | 3500 W. 38th Ave., Apt. 266, Denver, CO 80211 |
| Oregon Corporations, Companies and Business Names | RISE UP LLC | 626 N Collier, Coquille, OR 97423 |
| Indiana Business Entities | RISE UP LLC | 370 E Burdick Rd, Chesterton, IN 46304 |
| Virginia Business Entities | RISE UP LLC | 2009 Cadillac Trail, North Chesterfield, Virginia 23236 |
| Street Address |
153 PARK ROW STE 103 |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-2053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740553346 | Jessica L Packard | Counselor | 153 Park Row Ste 103, Brunswick, ME 04011-2053 | 2012-02-14 |
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| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
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| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
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| 1700358314 | Nikki Wetherell Counseling | Clinic/Center | 19 South St Ste 6, Portland, ME 04101-3963 | 2018-12-20 |
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| 1073037099 | Next Step Domestic Violence Project | Clinic/Center | 733 Bangor Rd, Ellsworth, ME 04605-3580 | 2017-08-01 |
| 1306170295 | Department of Veterans Affairs | Clinic/Center | 99 River Rd, Lincoln, ME 04457-4012 | 2009-09-24 |
| 1881831329 | Wings for Children and Families Inc. | Clinic/Center | 900 Hammond St, Suite 915, Bangor, ME 04401-4378 | 2009-01-20 |
| 1891733309 | Maine Behavioral Healthcare | Clinic/Center | 2 Springbrook Dr, Biddeford, ME 04005-9443 | 2006-06-04 |
| 1538122445 | Sweetser | Clinic/Center | 50 Moody Street, Saco, ME 04072 | 2006-04-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.