Provider Demographics
NPI:1427316777
Name:PARTNERSHIPS TO UPLIFT COMMUNITIES
Entity type:Organization
Organization Name:PARTNERSHIPS TO UPLIFT COMMUNITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR ACCOUNTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-478-2082
Mailing Address - Street 1:1405 N SAN FERNANDO BLVD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91504-4182
Mailing Address - Country:US
Mailing Address - Phone:818-478-2082
Mailing Address - Fax:
Practice Address - Street 1:1405 N SAN FERNANDO BLVD
Practice Address - Street 2:SUITE 303
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91504-4182
Practice Address - Country:US
Practice Address - Phone:818-478-2082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-24
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalystGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No235500000XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty