MEDICARE: UPLIFTU COUNSELING, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1881464725
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UPLIFTU COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	2600 GRAMERCY ST APT 214
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-3170
Country	:	US
Telephone Number	:	202-684-6045
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 GRAMERCY ST APT 214
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-3170
Country	:	US
Telephone Number	:	240-605-5774
Fax Number	:

Authorized Official
Title or Position	:	LCSW
Name	:	KIMBERLY JONES
Credential	:	LCSW
Telephone Number	:	202-684-6045

Provider Enumeration Date	:	01/02/2024
Last Update Date	:	11/20/2025

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