Provider Demographics
NPI:1720700248
Name:RISING ABOVE LLC
Entity type:Organization
Organization Name:RISING ABOVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-214-1926
Mailing Address - Street 1:6 LIBERTY SQ
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02109-5800
Mailing Address - Country:US
Mailing Address - Phone:888-572-7473
Mailing Address - Fax:323-577-6804
Practice Address - Street 1:135 BEAVER ST STE 402
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02452-8463
Practice Address - Country:US
Practice Address - Phone:888-572-7473
Practice Address - Fax:323-577-6804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty