UPLIFT COMPREHENSIVE SERVICES - NPI NUMBER 1962698621

Summary

Provider Name: UPLIFT COMPREHENSIVE SERVICES

NPI Number: 1962698621

Clasification: Counselor (101Y00000X)

Address:
312 STERLINGWORTH ST
WINDSOR, NC
ZIP 27983

Phone Number: (252) 794-3834



Detailed Information

UPLIFT COMPREHENSIVE SERVICES is a counselor in Windsor, NC. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master�s degree and clinical experience and supervision for licensure or certification. The assigned NPI number for this provider is 1962698621 and is registered as an organization entity type and is a multi-specialty group.

The provider's business address is:

312 STERLINGWORTH ST
WINDSOR, NC
ZIP 27983-724
Phone: (252) 794-3834
Fax: (242) 793-3204

The provider's authorized official is John Taylor .
The authorized official title is Cfo and has the following contact phone number (252) 334-1536.

The enumeration date for this NPI number is 9/17/2007 and was last updated on 9/17/2007.

Map - Location of Practice

Similar Providers

NPI Provider Name / Taxonomy
1073654638 UPLIFT COMPREHENSIVE SERVICES
Counselor (Mental Health)
1023283074 LATASHA GREEN
Counselor (Addiction (Substance Use Disorder))
1497005326 MS. LATOYIA R PUGH, LCAS-A
Counselor (Addiction (Substance Use Disorder))
1689847410 MRS. CATHERINE ADLANDA ROBERTS, LCAS, LPC, CCS
Counselor (Professional)
1437101326 MS. FRENCHIE VALERIE BUNCH, MSW, LCSW
Counselor (Mental Health)
1346357969 HABCARE FACILITIES, INC.
Counselor (Professional)
1568879161 VONNER HORTON
Counselor (Addiction (Substance Use Disorder))

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 101Y00000X Counselor Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 8300650G MEDICAID NC

NPI Record

No. Field Name Field Value
1 NPI 1962698621
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name UPLIFT COMPREHENSIVE SERVICES
5 Provider First Line Business Practice Location Address 312 STERLINGWORTH ST
6 Provider Business Practice Location Address City Name WINDSOR
7 Provider Business Practice Location Address State Name NC
8 Provider Business Practice Location Address Postal Code 279831724
9 Provider Business Practice Location Address Country Code If outside U S US
10 Provider Business Practice Location Address Telephone Number 2527943834
11 Provider Business Practice Location Address Fax Number 2427933204
12 Provider Enumeration Date 9/17/2007
13 Last Update Date 9/17/2007
14 Authorized Official Last Name TAYLOR
15 Authorized Official First Name JOHN
16 Authorized Official Title or Position CFO
17 Authorized Official Telephone Number 2523341536
18 Healthcare Provider Taxonomy Code 1 101Y00000X
19 Healthcare Provider Primary Taxonomy Switch 1 Y
20 Other Provider Identifier 1 8300650G
21 Other Provider Identifier Type Code 1 05
22 Other Provider Identifier State 1 NC
23 Is Organization Subpart N
24 Authorized Official Name Prefix Text MR.
25 Healthcare Provider Taxonomy Group 1 193200000X MULTI-SPECIALTY GROUP

Download Record

Download this NPI record in Text format: Export

Download this NPI record in Excel (CSV) format: Export

Download this NPI record in XML format: Export




This page was last updated on: 8/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.