Organization
UPLIFT AND INSPIRE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIE TYSON LPC (OWNER)
(314) 828-9713
Entity
Organization
Contact information
Practice address
1000 LAKE SAINT LOUIS BLVD STE 34, LAKE ST LOUIS, MO 63367-2922
(314) 828-9713
Mailing address
1000 LAKE SAINT LOUIS BLVD STE 34, LAKE ST LOUIS, MO 63367-2922
(314) 828-9713
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
01/10/2021
Last updated
01/10/2021
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