# UPLIFT SUPPORT SERVICES

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

## Provider details

- **NPI number:** 1811446883
- **Authorized official:** PHYLLIS THOMAS POWELL (CEO)
- **Authorized official phone:** (813) 803-0315

## Contact information

- **Practice address:** 4415 FLORIDA NATIONAL DR STE 108, LAKELAND, FL 33813-1567
- **Practice address phone:** (813) 803-0315
- **Mailing address:** 4415 FLORIDA NATIONAL DR STE 108, LAKELAND, FL 33813-1567
- **Mailing address phone:** (813) 803-0315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | L16000017965 | FL | Yes |

## Other

- **Enumeration date:** 09/30/2016
- **Last updated:** 04/13/2018