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Organization
UPLIFT MENTAL HEALTH SERVICES, PLLC
Active
Organization
UPLIFT MENTAL HEALTH SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONICA MONIQUE FULLER NP (PMHNP)
(336) 459-9565
Entity
Organization
Contact information
Practice address
9121 ANSON WAY, SUITE 200, RALEIGH, NC 27615
(910) 505-0477
Mailing address
3064 WAKE FOREST RD # 1405, RALEIGH, NC 27609-7844
(336) 459-9565
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/14/2023
Last updated
04/03/2024
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