Provider Demographics
NPI:1669037677
Name:LEVEL OF CONSCIOUSNESS SERVICES LLC
Entity Type:Organization
Organization Name:LEVEL OF CONSCIOUSNESS SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JODY
Authorized Official - Middle Name:S
Authorized Official - Last Name:BERNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-631-0915
Mailing Address - Street 1:PO BOX 17443
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33762-0443
Mailing Address - Country:US
Mailing Address - Phone:888-851-4642
Mailing Address - Fax:
Practice Address - Street 1:401 CORBETT ST STE 220
Practice Address - Street 2:
Practice Address - City:BELLEAIR
Practice Address - State:FL
Practice Address - Zip Code:33756-7302
Practice Address - Country:US
Practice Address - Phone:727-443-0100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-06
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty