| Uplift & Inspire,llc | |
|
6035 Executive Dr Ste 204 Lansing MI 48911-5338 | |
| (734) 627-7669 | |
| (734) 627-6001 |
| Full Name | Uplift & Inspire,llc |
|---|---|
| Speciality | Counselor |
| Location | 6035 Executive Dr Ste 204, Lansing, Michigan |
| Authorized Official Name and Position | Domonika Tipton (THERAPIST) |
| Authorized Official Contact | 7346277669 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uplift & Inspire,llc 6035 Executive Dr Ste 204 Lansing MI 48911-5338 Ph: (734) 627-7669 | Uplift & Inspire,llc 6035 Executive Dr Ste 204 Lansing MI 48911-5338 Ph: (734) 627-7669 |
| NPI Number | 1114523156 |
|---|---|
| Provider Enumeration Date | 12/06/2020 |
| Last Update Date | 10/30/2024 |
| Certification Date | 10/30/2024 |
| Medicare PECOS PAC ID | 5799182994 |
|---|---|
| Medicare Enrollment ID | O20210929003455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114523156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Domonika Sharee Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104463462 PECOS PAC ID: 6608273800 Enrollment ID: I20210929003540 |
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