Provider Demographics
NPI:1487215059
Name:RISE ABOVE SPEECH THERAPY LLC
Entity type:Organization
Organization Name:RISE ABOVE SPEECH THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JOSILYN
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:OVENELL
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP, CBIS
Authorized Official - Phone:406-531-4954
Mailing Address - Street 1:7012 JENAYA CT
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59803-8507
Mailing Address - Country:US
Mailing Address - Phone:406-531-4954
Mailing Address - Fax:
Practice Address - Street 1:1940 HARVE AVE STE 2
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-8344
Practice Address - Country:US
Practice Address - Phone:406-531-4954
Practice Address - Fax:406-258-0826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-25
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty