Provider Demographics
NPI:1013768886
Name:RISE AND RENEW COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:RISE AND RENEW COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:
Authorized Official - Last Name:AHLBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:517-612-5798
Mailing Address - Street 1:2652 SPRING ARBOR RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49203-3604
Mailing Address - Country:US
Mailing Address - Phone:517-612-5798
Mailing Address - Fax:517-539-6692
Practice Address - Street 1:2652 SPRING ARBOR RD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49203-3604
Practice Address - Country:US
Practice Address - Phone:517-612-5798
Practice Address - Fax:517-539-6692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-29
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty