The Up Center, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THE UP CENTER, LLC

Practice address

1387 Church St
Decatur, GA 30030-1520

Phone

(404) 576-8682

NPI assigned

Dec 21, 2020

Organization subpart

No

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

Authorized official

Name

Brentia Caldwell, ED.S., LPC, NCC, ACSNPI 1295386423

Title

Director/Owner

Phone

(404) 576-8682

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brentia J Caldwell, ED.S., LPC

  • Mental Health Counselor
  • Decatur, GA
  • NPI 1295386423
  NPD Authorized official

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1952997249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1387 CHURCH ST",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301520",
            "telephone_number": "404-576-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1387 CHURCH ST",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301520",
            "telephone_number": "404-576-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE UP CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "BRENTIA",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "404-576-8682",
        "authorized_official_credential": "ED.S., LPC, NCC, ACS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Decatur, GA
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• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.