Provider Demographics
NPI:1194548651
Name:RISE ABOVE WELLNESS LLC
Entity type:Organization
Organization Name:RISE ABOVE WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:LIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:GALELLA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:203-889-7375
Mailing Address - Street 1:365 MATHER ST APT 200
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06514-3137
Mailing Address - Country:US
Mailing Address - Phone:203-889-7375
Mailing Address - Fax:203-889-7375
Practice Address - Street 1:365 MATHER ST APT 200
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06514-3137
Practice Address - Country:US
Practice Address - Phone:203-889-7375
Practice Address - Fax:203-889-7375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty