| Up Therapy, Llc | |
|
1901 Highway 190 Apt 1422 Mandeville LA 70448-3486 | |
| (150) 438-8194 | |
| Not Available |
| Full Name | Up Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1901 Highway 190 Apt 1422, Mandeville, Louisiana |
| Authorized Official Name and Position | Renee' Booker (OWNER) |
| Authorized Official Contact | 5043881944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Up Therapy, Llc 1901 Highway 190 Apt 1422 Mandeville LA 70448-3486 Ph: (504) 388-1944 | Up Therapy, Llc 1901 Highway 190 Apt 1422 Mandeville LA 70448-3486 Ph: (150) 438-8194 |
| NPI Number | 1215698873 |
|---|---|
| Provider Enumeration Date | 01/06/2022 |
| Last Update Date | 09/06/2022 |
| Certification Date | 09/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215698873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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