Healthcare Provider Details
I. General information
NPI: 1811826324
Provider Name (Legal Business Name): UPTOWN COUNSELING AND PSYCHOTHERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1040 CAMBRIDGE SQ STE D
ALPHARETTA GA
30009-1800
US
IV. Provider business mailing address
1040 CAMBRIDGE SQ STE D
ALPHARETTA GA
30009-1800
US
V. Phone/Fax
- Phone: 404-509-8163
- Fax:
- Phone: 404-509-8163
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SILKE
LEBER
LEBER
Title or Position: OWNER
Credential: MS, NCC, LPC
Phone: 404-509-8163