Organization
UPLIFT WELLNESS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIAN GREEN LISW-CP, LCSW (OWNER/THERAPIST)
(864) 313-7047
Entity
Organization
Contact information
Practice address
3815 LAMAR ST, COLUMBIA, SC 29203-5739
(864) 313-7047
(864) 670-8029
Mailing address
PO BOX 5524, COLUMBIA, SC 29250-5524
(864) 313-7047
(864) 670-8029
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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