| Uplift Suppportive Living, Inc | |
|
5494 Brown Rd Ste 107 Hazelwood MO 63042-1100 | |
| (314) 276-5672 | |
| Not Available |
| Full Name | Uplift Suppportive Living, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5494 Brown Rd Ste 107, Hazelwood, Missouri |
| Authorized Official Name and Position | Latondra Rush (OWNER) |
| Authorized Official Contact | 3148378067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uplift Suppportive Living, Inc 5494 Brown Rd Ste 107 Hazelwood MO 63042-1100 Ph: (314) 276-5672 | Uplift Suppportive Living, Inc 5494 Brown Rd Ste 107 Hazelwood MO 63042-1100 Ph: (314) 276-5672 |
| NPI Number | 1649081704 |
|---|---|
| Provider Enumeration Date | 01/17/2025 |
| Last Update Date | 01/17/2025 |
| Certification Date | 01/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649081704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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