Organization
UP START, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY E COLEY LCSW-C (OWNER)
(443) 621-1580
Entity
Organization
Contact information
Practice address
4723 SHAMROCK AVE, BALTIMORE, MD 21206-6864
(443) 621-1580
Mailing address
8 SCHOONER BAY CT, MIDDLE RIVER, MD 21220-7504
(443) 621-1580
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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