Healthcare Provider Details

I. General information

NPI: 1154255685
Provider Name (Legal Business Name): UPWARD SHIFT COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1502 2ND AVE STE 2
SCOTTSBLUFF NE
69361-3278
US

IV. Provider business mailing address

1502 2ND AVE STE 2
SCOTTSBLUFF NE
69361-3278
US

V. Phone/Fax

Practice location:
  • Phone: 308-672-1569
  • Fax: 308-672-1569
Mailing address:
  • Phone: 308-672-1569
  • Fax: 308-672-1569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE LEE SERL
Title or Position: OWNER
Credential: PLMHP
Phone: 308-672-1569