Provider Demographics
NPI:1568006849
Name:NEXT LEVEL TALK THERAPY LLC
Entity Type:Organization
Organization Name:NEXT LEVEL TALK THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:LEVIS
Authorized Official - Middle Name:W
Authorized Official - Last Name:KENNEY
Authorized Official - Suffix:SR
Authorized Official - Credentials:LPC
Authorized Official - Phone:215-668-6446
Mailing Address - Street 1:6801 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19126-2802
Mailing Address - Country:US
Mailing Address - Phone:215-668-6446
Mailing Address - Fax:267-766-6214
Practice Address - Street 1:6801 N BROAD ST
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19126-2802
Practice Address - Country:US
Practice Address - Phone:215-668-6446
Practice Address - Fax:267-766-6214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-30
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Multi-Specialty