Provider Demographics
NPI:1144935040
Name:UPLIFT CHRISTIAN COUNSELING
Entity type:Organization
Organization Name:UPLIFT CHRISTIAN COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TRENEE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:TUNICK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:405-697-6737
Mailing Address - Street 1:5708 NW 135TH ST STE B
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73142-5942
Mailing Address - Country:US
Mailing Address - Phone:405-697-6737
Mailing Address - Fax:855-940-4072
Practice Address - Street 1:5708 NW 135TH ST STE B
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73142-5942
Practice Address - Country:US
Practice Address - Phone:405-697-6737
Practice Address - Fax:855-940-4072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-16
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty