Uplift Support Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

L16000017965 Issued in FL

Legal business name

UPLIFT SUPPORT SERVICES

Practice address

4415 Florida National Dr Ste 108
Lakeland, FL 33813-1567

Phone

(813) 803-0315

NPI assigned

Sep 30, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Phyllis Thomas Powell

Title

Ceo

Phone

(813) 803-0315

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523577600000",
    "number": "1811446883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 FLORIDA NATIONAL DR STE 108",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131567",
            "telephone_number": "813-803-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 FLORIDA NATIONAL DR STE 108",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131567",
            "telephone_number": "813-803-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPLIFT SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-30",
        "last_updated": "2018-04-13",
        "status": "A",
        "authorized_official_last_name": "THOMAS POWELL",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-803-0315"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "L16000017965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.