Organization
UPLIFTING YOUTH AND FAMILY COUNSELING SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS TREMAYNE SIMMONS MS (DIRECTOR)
(334) 657-3836
Entity
Organization
Contact information
Practice address
250 INTERSTATE COMMERCIAL PARK LOOP, PRATTVILLE, AL 36066-7361
(334) 657-3836
Mailing address
120 KIMRICK CIR, DEATSVILLE, AL 36022-2673
(334) 657-3836
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120
120 HOME ADDRESS
—
Enumeration date
07/12/2018
Last updated
07/12/2018
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