Provider Demographics
NPI:1588402150
Name:ARISE WELLNESS, INC.
Entity type:Organization
Organization Name:ARISE WELLNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GOLNAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:AGAHI
Authorized Official - Suffix:
Authorized Official - Credentials:DSW, LCSW, MPH
Authorized Official - Phone:844-932-7473
Mailing Address - Street 1:9233 RESEARCH DR
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-4293
Mailing Address - Country:US
Mailing Address - Phone:844-932-7473
Mailing Address - Fax:
Practice Address - Street 1:9233 RESEARCH DR
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-4293
Practice Address - Country:US
Practice Address - Phone:844-932-7473
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-18
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health