National Provider Identifier Database

RISE OF RUSTON LLC
Rehabilitation, Substance Use Disorder


Contact Information

RISE OF RUSTON LLC
512 E TEXAS AVE
RUSTON, LA71270-4555
Phone: 318-331-3977
Fax:
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder 261QR0405X
Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for RISE OF RUSTON LLC

NPI Number 1619704707
Legal business name
LBN
RISE OF RUSTON LLC
Authorized official FELICIA DOUGLAS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/13/2024
Last updated 06/29/2025 - About 11 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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