Organization
UPLIFT COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES EDWARD URBAN MA, LMHC (OWNER/PRESIDENT)
(904) 596-0496
Entity
Organization
Contact information
Practice address
2233 PARK AVENUE, BUILDING 500 SUITE 103, ORANGE PARK, FL 32073
(904) 596-0496
Mailing address
2233 PARK AVENUE, BUILDING 500 SUITE 103, ORANGE PARK, FL 32073
(904) 596-0496
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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