Provider Demographics
NPI:1518674027
Name:UPSIDE OF CHAT CONSULTING & THERAPY LLC
Entity Type:Organization
Organization Name:UPSIDE OF CHAT CONSULTING & THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELYN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:330-564-3012
Mailing Address - Street 1:6909 W RAY RD STE 15
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-1526
Mailing Address - Country:US
Mailing Address - Phone:234-716-6408
Mailing Address - Fax:833-464-3817
Practice Address - Street 1:6909 W RAY RD STE 15
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-1526
Practice Address - Country:US
Practice Address - Phone:234-716-6408
Practice Address - Fax:833-464-3817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-03
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty