# UPRISING SUPPORTIVE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023964848
- **Authorized official:** NICOLE VENTOUR LCSW (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (917) 379-4989

## Contact information

- **Practice address:** 114 WILLIAMS ST STE 109, LANCASTER, SC 29720-2404
- **Practice address phone:** (803) 639-7700
- **Practice address fax:** (803) 753-0088
- **Mailing address:** 114 WILLIAMS ST STE 109, LANCASTER, SC 29720-2404
- **Mailing address phone:** (803) 639-7700
- **Mailing address fax:** (803) 753-0088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/05/2026
- **Last updated:** 03/05/2026