Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Upper Room Counseling Center, Inc

Organization Counselor · NPI 1134439235

Upper Room Counseling Center, Inc is a Counselor in Fruitland Park, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
Specialties on file
7
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3420 Hwy 27/441
Fruitland Park, FL 34731-4474
Phone: (352) 435-4631
Fax: (352) 435-4632
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH-4358 (FL)
Counselor Taxonomy 101Y00000X · Licence MH-4358 (FL)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence MH-4358 (FL)
Pastoral Counselor Taxonomy 101YP1600X · Licence MH-4358 (FL)
Professional Counselor Taxonomy 101YP2500X · Licence MH-4358 (FL)
Psychoanalyst Taxonomy 102L00000X · Licence MH-4358 (FL)
Marriage & Family Therapist Taxonomy 106H00000X · Licence MH-4358 (FL)

Record details

NPI number1134439235
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Phillips — Director Of Counseling · (352) 435-4631
NPI enumeratedOctober 7, 2010
Last updated in NPPESJuly 31, 2012
Mailing address3420 Hwy 441/27, Fruitland Park, FL 34731-4474

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