Organization Active NPI

Up 4 Healing, LLC

  • Clinical Social Worker
  • Montgomery, AL
National Provider Identifier
1952999146
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
UP 4 HEALING, LLC
Practice address
3904 Barons CT
Montgomery, AL 36116-4350
Phone
(334) 590-5377
NPI assigned
Jan 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Authorized official

Name
Mrs. Savannah Sims, LICSW, PIP
Title
Owner/ Clinical Director
Phone
(334) 590-5377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3904 Barons CT
Montgomery, AL 36116-4350

Mailing address

3904 Barons CT
Montgomery, AL 36116-4350
Phone (334) 590-5377

National Provider Directory

National Provider Directory

Locations

7806 Vaughn Rd
Unit 5
Montgomery, AL 36116
Phone (334) 590-5548

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1952999146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 BARONS CT",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361164350",
            "telephone_number": "334-590-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3904 BARONS CT",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361164350",
            "telephone_number": "334-590-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UP 4 HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2020-12-31",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "SAVANNAH",
        "authorized_official_title_or_position": "OWNER/ CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "334-590-5377",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW, PIP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.