Provider Demographics
NPI:1710660998
Name:UPLIFT BY V
Entity Type:Organization
Organization Name:UPLIFT BY V
Other - Org Name:VITAL INTEGRATED BEHAVIORAL HEALTH GROUP
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VALBONA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONUZI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:609-385-5343
Mailing Address - Street 1:714 W WHITE HORSE PIKE
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08215-3838
Mailing Address - Country:US
Mailing Address - Phone:609-385-5343
Mailing Address - Fax:
Practice Address - Street 1:800 N FIELDER RD STE 100A
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-5800
Practice Address - Country:US
Practice Address - Phone:609-385-5343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-14
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty