Provider Demographics
NPI:1073325452
Name:RISE AND REFLECT MENTAL HEALTH
Entity type:Organization
Organization Name:RISE AND REFLECT MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:RUPA
Authorized Official - Middle Name:
Authorized Official - Last Name:KARKI
Authorized Official - Suffix:
Authorized Official - Credentials:MSN
Authorized Official - Phone:703-395-7916
Mailing Address - Street 1:12096 HARTWOOD MEADOW PL
Mailing Address - Street 2:
Mailing Address - City:BRISTOW
Mailing Address - State:VA
Mailing Address - Zip Code:20136-1139
Mailing Address - Country:US
Mailing Address - Phone:703-395-7916
Mailing Address - Fax:
Practice Address - Street 1:12096 HARTWOOD MEADOW PL
Practice Address - Street 2:
Practice Address - City:BRISTOW
Practice Address - State:VA
Practice Address - Zip Code:20136-1139
Practice Address - Country:US
Practice Address - Phone:703-395-7916
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty