UPPER ROOM COUNSELING CENTER INC. NPI 1134439235

NPI Information

  • NPI: 1134439235
  • Provider Name: UPPER ROOM COUNSELING CENTER, INC.
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 3420 HWY 27/441
    FRUITLAND PARK, FL
    ZIP 34731
  • Phone: (352) 435-4631

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NPI Details

UPPER ROOM COUNSELING CENTER, INC. is a mental health counselor in Fruitland Park, FL. UPPER ROOM COUNSELING CENTER, INC. NPI is 1134439235. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3420 HWY 27/441
FRUITLAND PARK, FL
ZIP 34731-474
Phone: (352) 435-4631
Fax: (352) 435-4632

The provider's authorized official is Jerry Franklin Phillips .
The authorized official title is Director Of Counseling and has the following contact phone number (352) 435-4631.

The enumeration date for this NPI number is 10/7/2010 and was last updated on 7/31/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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
1101Y00000XCounselorMH-4358FLORIDANo
2101YA0400XCounselorAddiction (Substance Use Disorder)MH-4358FLORIDANo
3101YP1600XCounselorPastoralMH-4358FLORIDANo
4101YP2500XCounselorProfessionalMH-4358FLORIDANo
5102L00000XPsychoanalystMH-4358FLORIDANo
6106H00000XMarriage & Family TherapistMH-4358FLORIDANo
7101YM0800XCounselorMental HealthMH-4358FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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