Provider Demographics
NPI:1003701699
Name:RISE UP COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:RISE UP COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:DONELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDENO
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:507-251-0480
Mailing Address - Street 1:3 ISLAND HEIGHTS CT NE
Mailing Address - Street 2:
Mailing Address - City:PINE ISLAND
Mailing Address - State:MN
Mailing Address - Zip Code:55963-9739
Mailing Address - Country:US
Mailing Address - Phone:507-251-0480
Mailing Address - Fax:
Practice Address - Street 1:314 S MAIN ST STE C
Practice Address - Street 2:
Practice Address - City:PINE ISLAND
Practice Address - State:MN
Practice Address - Zip Code:55963-2903
Practice Address - Country:US
Practice Address - Phone:507-251-0480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty