Provider Demographics
NPI:1053204065
Name:RISE AND THRIVE THERAPY, LLC
Entity type:Organization
Organization Name:RISE AND THRIVE THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:C
Authorized Official - Last Name:ALARCON
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:217-257-6196
Mailing Address - Street 1:9722 KARLOV AVENUE
Mailing Address - Street 2:APT #2
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076
Mailing Address - Country:US
Mailing Address - Phone:217-257-6196
Mailing Address - Fax:
Practice Address - Street 1:9722 KARLOV AVENUE
Practice Address - Street 2:APT #2
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076
Practice Address - Country:US
Practice Address - Phone:217-257-6196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-29
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL14074136Medicaid