Active NPI
Arise Wellness, PLLC
- Marriage & Family Therapist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- ARISE WELLNESS, PLLC
- Practice address
- 7545 Centurion Pkwy Ste 104
Jacksonville, FL 32256-4118 - Phone
- (904) 452-5027
- Fax
- (904) 253-3492
- NPI assigned
- Dec 4, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kormasah Curtis, LMFT
- Title
- Ceo, Founder
- Phone
- (904) 802-2571
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
7545 Centurion Pkwy Ste 104
Jacksonville, FL 32256-4118
Mailing address
7643 Gate Pkwy Ste 104-1197
Jacksonville, FL 32256-2893
Phone (904) 802-2571
Other practice location 1
7701 Timberlin Park Blvd Apt 522
Jacksonville, FL 32256-5443
Phone (904) 802-2571
Other practice location 2
7643 Gate Pkwy Ste 104-1197
Jacksonville, FL 32256-2893
Phone (904) 802-2571
National Provider Directory
National Provider DirectoryLocations
7643 Gate Pkwy
Ste 1041197
Jacksonville, FL 32256
Phone (904) 802-2571
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Jacksonville, FL
- NPI 1255868832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611705600000",
"number": "1023614161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7643 GATE PKWY STE 104-1197",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322562893",
"telephone_number": "904-802-2571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7545 CENTURION PKWY STE 104",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322564118",
"telephone_number": "904-452-5027",
"fax_number": "904-253-3492"
}
],
"practiceLocations": [
{
"address_1": "7701 Timberlin Park Blvd Apt 522",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322565443",
"country_code": "US",
"telephone_number": "904-802-2571",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7643 Gate Pkwy Ste 104-1197",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322562893",
"country_code": "US",
"telephone_number": "904-802-2571",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ARISE WELLNESS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-04",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A",
"authorized_official_last_name": "CURTIS",
"authorized_official_first_name": "KORMASAH",
"authorized_official_title_or_position": "CEO, FOUNDER",
"authorized_official_telephone_number": "904-802-2571",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.