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General NPI Number Information
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NPI Number | 1225415953
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Entity Type | Organization
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Legal Business Name | UPLIFTING COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 05/01/2015
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Last Update Date | 05/01/2015
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Provider Practice Location Address
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Address Line | 1580 NW 128TH DR APT 210
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City | SUNRISE
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State | FL
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Zip | 33323-5216
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Country | US
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Telephone | 321-289-9044
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Fax |
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Provider Business Mailing Address
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Address Line | 1580 NW 128TH DR APT 210
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City | SUNRISE
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State | FL
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Zip | 33323-5216
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Country | US
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Telephone | 321-289-9044
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED MEMBER
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Name | MS. KEISHA TROTMAN
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Credential | MS, LMHC
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Telephone | 321-289-9044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH11261
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License Number State | FL
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