Provider Demographics
NPI:1962218487
Name:ARKHAM RISE COUNSELING PLLC
Entity type:Organization
Organization Name:ARKHAM RISE COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DELRE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:813-777-0148
Mailing Address - Street 1:6707 CRESCENT WOODS CIR
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33813-4626
Mailing Address - Country:US
Mailing Address - Phone:813-777-0148
Mailing Address - Fax:
Practice Address - Street 1:4435 FLORIDA NATIONAL DR
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33813-1516
Practice Address - Country:US
Practice Address - Phone:863-216-8964
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty