Provider Demographics
NPI:1336355437
Name:UPTOWN COUNSELING PROFESSIONALS, LLC
Entity Type:Organization
Organization Name:UPTOWN COUNSELING PROFESSIONALS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:MACTAGGART
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:864-942-9897
Mailing Address - Street 1:327 MAIN ST
Mailing Address - Street 2:SUITE 500
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29646-1601
Mailing Address - Country:US
Mailing Address - Phone:864-942-9897
Mailing Address - Fax:864-942-9794
Practice Address - Street 1:327 MAIN ST
Practice Address - Street 2:SUITE 500
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29646-1601
Practice Address - Country:US
Practice Address - Phone:864-942-9897
Practice Address - Fax:864-942-9794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2349101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCSC2349OtherOWNER'S LICENSE NUMBER