Provider Demographics
NPI:1124640115
Name:RISE HAWAII SERVICES LLC
Entity type:Organization
Organization Name:RISE HAWAII SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HILLARY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEASURE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:808-937-4437
Mailing Address - Street 1:2380 KALANIANAOLE ST # HI
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-4969
Mailing Address - Country:US
Mailing Address - Phone:808-937-4437
Mailing Address - Fax:
Practice Address - Street 1:2380 KALANIANAOLE ST # HI
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-4969
Practice Address - Country:US
Practice Address - Phone:808-937-4437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-12
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty