Level Up Community Service Program Llc
LBN: Level Up Community Service Program Llc
Level Up Community Service Program Llc is an health care organization with primary practice located at 6754 Grey Rock Way , Lithonia GA 30058-3077. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Level Up Community Service Program Llc can be contacted via phone (678) 849-0505, or through Sills, Deborah E via phone (678) 849-0505.
Contact Information
Primary practice address
6754 Grey Rock Way
Lithonia GA 30058-3077
Phone: (678) 849-0505
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1871226977 |
|---|---|
| LBN Legal business name | Level Up Community Service Program Llc |
| DBA Doing business as | |
| Authorized official | Sills, Deborah E PHD LCSW |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 6th, 2022 |
| Last updated | Jul 6th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871226977 | NPPES |
| Georgia | Other | 2014 | 2014 |
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