Provider Demographics
NPI:1316611064
Name:RISING UP COUNSELING, LLC.
Entity type:Organization
Organization Name:RISING UP COUNSELING, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER/OWN
Authorized Official - Prefix:MRS
Authorized Official - First Name:GRAZIELLA
Authorized Official - Middle Name:LUCIA
Authorized Official - Last Name:MOLLUZZO-LOESCHE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:032-741-8656
Mailing Address - Street 1:1145 N COLONY RD
Mailing Address - Street 2:
Mailing Address - City:WALLINGFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06492-1796
Mailing Address - Country:US
Mailing Address - Phone:203-741-8656
Mailing Address - Fax:
Practice Address - Street 1:881 DURHAM RD
Practice Address - Street 2:
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492-2526
Practice Address - Country:US
Practice Address - Phone:203-741-8656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-05
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty