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Organization
UPLIFT BEHAVIORAL HEALTH SERVICES LLC
Active
Organization
UPLIFT BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA MARIE JOHNSON (VICE PRESIDENT/ CREDENTIALING MGR)
(508) 301-3444
Entity
Organization
Contact information
Practice address
166 VALLEY ST BLDG 6M, PROVIDENCE, RI 02909-2400
(508) 313-9994
(617) 586-1102
Mailing address
201 QUINCY ST, BROCKTON, MA 02302-2926
(508) 313-9994
(617) 586-1102
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/21/2026
Last updated
08/21/2026
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