Provider Demographics
NPI:1932854585
Name:UPLIFT BEHAVIORAL HEALTH SERVICES INC.
Entity Type:Organization
Organization Name:UPLIFT BEHAVIORAL HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DALLY
Authorized Official - Middle Name:M
Authorized Official - Last Name:PELAEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:305-999-1083
Mailing Address - Street 1:9370 SW 72ND ST STE A213
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-5452
Mailing Address - Country:US
Mailing Address - Phone:305-999-1083
Mailing Address - Fax:305-999-1067
Practice Address - Street 1:9370 SW 72ND ST STE A213
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-5452
Practice Address - Country:US
Practice Address - Phone:305-999-1083
Practice Address - Fax:305-999-1067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-12
Last Update Date:2022-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty