Provider Demographics
NPI:1164300497
Name:REROOT AND RISE COUNSELING
Entity type:Organization
Organization Name:REROOT AND RISE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CREASE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:732-546-5004
Mailing Address - Street 1:2510 BELMAR BLVD APT K-37
Mailing Address - Street 2:
Mailing Address - City:WALL
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-3977
Mailing Address - Country:US
Mailing Address - Phone:732-546-5004
Mailing Address - Fax:
Practice Address - Street 1:2510 BELMAR BLVD APT K-37
Practice Address - Street 2:
Practice Address - City:WALL
Practice Address - State:NJ
Practice Address - Zip Code:07719-3977
Practice Address - Country:US
Practice Address - Phone:732-546-5004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty