| Uplift Counseling Center | |
|
2233 Park Avenue Building 500 Suite 103 Orange Park FL 32073 | |
| (904) 596-0496 | |
| Not Available |
| Full Name | Uplift Counseling Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2233 Park Avenue, Orange Park, Florida |
| Authorized Official Name and Position | James Edward Urban (OWNER/PRESIDENT) |
| Authorized Official Contact | 9045960496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uplift Counseling Center 2233 Park Avenue Building 500 Suite 103 Orange Park FL 32073 Ph: (904) 596-0496 | Uplift Counseling Center 2233 Park Avenue Building 500 Suite 103 Orange Park FL 32073 Ph: (904) 596-0496 |
| NPI Number | 1558902759 |
|---|---|
| Provider Enumeration Date | 09/30/2019 |
| Last Update Date | 09/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558902759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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