Provider Demographics
NPI:1861064818
Name:RISING STRONG COUNSELING LLC
Entity type:Organization
Organization Name:RISING STRONG COUNSELING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER, MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:D
Authorized Official - Last Name:HATTON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC INTERN
Authorized Official - Phone:541-974-4264
Mailing Address - Street 1:280 COURT ST NE STE 220
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-3443
Mailing Address - Country:US
Mailing Address - Phone:541-974-4264
Mailing Address - Fax:877-338-1628
Practice Address - Street 1:280 COURT ST NE STE 220
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-3443
Practice Address - Country:US
Practice Address - Phone:541-974-4264
Practice Address - Fax:877-338-1628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-10
Last Update Date:2024-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health