Organization
UPRISING SUPPORTIVE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE VENTOUR LCSW (EXECUTIVE DIRECTOR)
(917) 379-4989
Entity
Organization
Contact information
Practice address
114 WILLIAMS ST STE 109, LANCASTER, SC 29720-2404
(803) 639-7700
(803) 753-0088
Mailing address
114 WILLIAMS ST STE 109, LANCASTER, SC 29720-2404
(803) 639-7700
(803) 753-0088
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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