Faith Rising Therapy, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

FAITH RISING THERAPY, LLC

Practice address

104 Lock and Dam Rd
Russellville, AR 72802-9725

Phone

(479) 567-1864

NPI assigned

Dec 20, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Justin Qualls, LPCNPI 1780299859

Title

Therapist/Owner

Phone

(479) 567-1864

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin Qualls, LPC

  • Professional Counselor
  • Russellville, AR
  • NPI 1780299859
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1851160675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "794 FLURRY RD",
            "city": "DELAWARE",
            "state": "AR",
            "postal_code": "728359317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 LOCK AND DAM RD",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728029725",
            "telephone_number": "479-567-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH RISING THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "QUALLS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "479-567-1864",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Anne Erwin, ATC
• Michael Wayne Escue, MD
• Exceptional Hearing LLC
• Ezechiel R. Nehus, MD, PA
• Hannah Mae Fairchild, OD
• Family Eye Care of Russellville
• Heaven Farmer
• Symphony Farmer
• Elizabeth Farrington, RECOVERY ASSISTANT
• Andrew Faught, RECOVERY ASSISTANT

• Professional Counselor in Russellville, AR
• Providers in Russellville, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.