| Uplifted Living, Llc | |
|
3654 S Marlborough Dr Tucker GA 30084-8313 | |
| (404) 376-1104 | |
| Not Available |
| Full Name | Uplifted Living, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3654 S Marlborough Dr, Tucker, Georgia |
| Authorized Official Name and Position | Rae K Sirott (FOUNDER) |
| Authorized Official Contact | 4043761104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uplifted Living, Llc 3654 S Marlborough Dr Tucker GA 30084-8313 Ph: (404) 376-1104 | Uplifted Living, Llc 3654 S Marlborough Dr Tucker GA 30084-8313 Ph: (404) 376-1104 |
| NPI Number | 1619600178 |
|---|---|
| Provider Enumeration Date | 07/02/2022 |
| Last Update Date | 07/02/2022 |
| Certification Date | 07/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619600178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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