Provider Demographics
NPI:1073309845
Name:ARISE &THRIVE PSYCHIATRY LLC
Entity type:Organization
Organization Name:ARISE &THRIVE PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAGDALENE
Authorized Official - Middle Name:
Authorized Official - Last Name:EKAWA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:408-600-7296
Mailing Address - Street 1:101 N COLORADO ST UNIT 182
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85244-6009
Mailing Address - Country:US
Mailing Address - Phone:408-600-7296
Mailing Address - Fax:
Practice Address - Street 1:101 N COLORADO ST UNIT 182
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85244-6009
Practice Address - Country:US
Practice Address - Phone:408-600-7296
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty