# LIFT UP LIVE WELL MENTAL HEALTHCARE

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

## Provider details

- **NPI number:** 1922888460
- **Authorized official:** NERISA BRYAN APN (OWNER/APN)
- **Authorized official phone:** (929) 486-0990

## Contact information

- **Practice address:** 276 5TH AVE RM 704, NEW YORK, NY 10001-4527
- **Practice address phone:** (212) 918-4488
- **Mailing address:** 99 MAIN ST STE 216, NYACK, NY 10960-3109
- **Mailing address phone:** (929) 486-0990

## 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:** 10/03/2023
- **Last updated:** 12/17/2025