# UPLIFT MENTAL HEALTH SERVICES, PLLC

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

## Provider details

- **NPI number:** 1245926070
- **Authorized official:** MS. MONICA MONIQUE FULLER NP (PMHNP)
- **Authorized official phone:** (336) 459-9565

## Contact information

- **Practice address:** 9121 ANSON WAY, SUITE 200, RALEIGH, NC 27615
- **Practice address phone:** (910) 505-0477
- **Mailing address:** 3064 WAKE FOREST RD \# 1405, RALEIGH, NC 27609-7844
- **Mailing address phone:** (336) 459-9565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/14/2023
- **Last updated:** 04/03/2024
