Provider Demographics
NPI:1003684085
Name:LEVEL UP THERAPY
Entity Type:Organization
Organization Name:LEVEL UP THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KARISSA
Authorized Official - Middle Name:J
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:423-904-5638
Mailing Address - Street 1:31 MERCER ST APT 201
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-7879
Mailing Address - Country:US
Mailing Address - Phone:513-848-4325
Mailing Address - Fax:
Practice Address - Street 1:31 MERCER ST APT 201
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-7879
Practice Address - Country:US
Practice Address - Phone:513-848-4325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-19
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health