Provider Demographics
NPI:1821605064
Name:LEVEL UP COUNSELING AND CONSULTING INC
Entity Type:Organization
Organization Name:LEVEL UP COUNSELING AND CONSULTING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LASHELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAVAGE
Authorized Official - Suffix:
Authorized Official - Credentials:CADC, LPC, CCS
Authorized Official - Phone:313-286-1665
Mailing Address - Street 1:21225 KELLY RD STE 5
Mailing Address - Street 2:
Mailing Address - City:EASTPOINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48021-3100
Mailing Address - Country:US
Mailing Address - Phone:586-362-8161
Mailing Address - Fax:
Practice Address - Street 1:21225 KELLY RD STE 5
Practice Address - Street 2:
Practice Address - City:EASTPOINTE
Practice Address - State:MI
Practice Address - Zip Code:48021-3100
Practice Address - Country:US
Practice Address - Phone:586-362-8161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-30
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility