Healthcare Provider Details

I. General information

NPI: 1609798743
Provider Name (Legal Business Name): UPLIFT COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

W3684 WI-64
MARINETTE WI
54143
US

IV. Provider business mailing address

W3684 WI-64
MARINETTE WI
54143
US

V. Phone/Fax

Practice location:
  • Phone: 715-229-5121
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN KOWALKE
Title or Position: OWNER/THERAPIST
Credential: LPC
Phone: 715-229-5121