Provider Demographics
NPI:1548870850
Name:ARISE THERAPY, PLLC
Entity type:Organization
Organization Name:ARISE THERAPY, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:N
Authorized Official - Last Name:VALIANOS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:312-566-8258
Mailing Address - Street 1:PO BOX 14265
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-8503
Mailing Address - Country:US
Mailing Address - Phone:312-566-8258
Mailing Address - Fax:872-231-2389
Practice Address - Street 1:1449 N CALIFORNIA AVE APT 1R
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-1653
Practice Address - Country:US
Practice Address - Phone:312-566-8258
Practice Address - Fax:872-231-2389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-03
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty