# UPLIFT BEHAVIORAL HEALTH SERVICES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1811803547
- **Authorized official:** DONNA MARIE JOHNSON (VICE PRESIDENT/ CREDENTIALING MGR)
- **Authorized official phone:** (508) 301-3444

## Contact information

- **Practice address:** 166 VALLEY ST BLDG 6M, PROVIDENCE, RI 02909-2400
- **Practice address phone:** (508) 313-9994
- **Practice address fax:** (617) 586-1102
- **Mailing address:** 201 QUINCY ST, BROCKTON, MA 02302-2926
- **Mailing address phone:** (508) 313-9994
- **Mailing address fax:** (617) 586-1102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 08/21/2026
- **Last updated:** 08/21/2026