Provider Demographics
NPI:1629854344
Name:UJIMA LIFE SERVICES, LLC
Entity Type:Organization
Organization Name:UJIMA LIFE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BYRON-WILLIFORD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:215-315-3310
Mailing Address - Street 1:210 RYERS AVE
Mailing Address - Street 2:
Mailing Address - City:CHELTENHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19012-2226
Mailing Address - Country:US
Mailing Address - Phone:215-315-3310
Mailing Address - Fax:
Practice Address - Street 1:210 RYERS AVE
Practice Address - Street 2:
Practice Address - City:CHELTENHAM
Practice Address - State:PA
Practice Address - Zip Code:19012-2226
Practice Address - Country:US
Practice Address - Phone:215-315-3310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UJIMA LIFE SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty