Organization
UPLIFT BEHAVIORAL HEALTH NJ PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE TALCOTT (PARTNER)
(904) 294-5194
Entity
Organization
Contact information
Practice address
82 CLINTON STREET, UNIT 2B, HOBOKEN, NJ 07030
(202) 932-7607
Mailing address
4417 W KENSINGTON AVE, TAMPA, FL 33629-8339
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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