Organization
UPLIFT TRAINING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON PRICE MDIV, LMSW (PRESIDENT)
(804) 840-3550
Entity
Organization
Contact information
Practice address
2708 W 43RD AVE, KANSAS CITY, KS 66103-3125
(913) 708-8247
Mailing address
10300 E 81ST ST, RAYTOWN, MO 64138-2110
(804) 840-3550
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12166
STATE OF KANSAS BSRB LMSW
KS
Enumeration date
06/19/2017
Last updated
06/21/2021
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