Provider Demographics
NPI:1225415953
Name:UPLIFTING COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:UPLIFTING COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:KEISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:TROTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMHC
Authorized Official - Phone:321-289-9044
Mailing Address - Street 1:1580 NW 128TH DR
Mailing Address - Street 2:APT 210
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-5216
Mailing Address - Country:US
Mailing Address - Phone:321-289-9044
Mailing Address - Fax:
Practice Address - Street 1:1580 NW 128TH DR
Practice Address - Street 2:APT 210
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33323-5216
Practice Address - Country:US
Practice Address - Phone:321-289-9044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-01
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11261101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty