Rise Pllc

LBN: Rise Pllc
Rise Pllc is an health care organization with primary practice located at 311 W Main St , Wilburton OK 74578-4047. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Rise Pllc can be contacted via phone (918) 465-0909, or through Nelson, Gary P via phone (918) 448-0590.

Contact Information

Primary practice address
311 W Main St Wilburton OK 74578-4047
Phone: (918) 465-0909
Fax: (918) 465-0404
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Gary P MS,LPC,LADC
Phone: (918) 448-0590

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X Oklahoma
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1780929752
LBN Legal business name Rise Pllc
DBA Doing business as
Authorized official Nelson, Gary P MS,LPC,LADC
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2012
Last updated Dec 3rd, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780929752 NPPES
Oklahoma MEDICAID N/A

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