Provider Demographics
NPI:1114523156
Name:UPLIFT & INSPIRE,LLC
Entity Type:Organization
Organization Name:UPLIFT & INSPIRE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:DOMONIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:TIPTON
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:734-627-7669
Mailing Address - Street 1:6920 S CEDAR ST STE 11
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-6924
Mailing Address - Country:US
Mailing Address - Phone:734-627-7669
Mailing Address - Fax:
Practice Address - Street 1:6920 S CEDAR ST STE 11
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-6924
Practice Address - Country:US
Practice Address - Phone:734-627-7669
Practice Address - Fax:734-627-6001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-06
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty