Provider Demographics
NPI:1023710480
Name:NEW LEVEL THERAPY, PLLC
Entity type:Organization
Organization Name:NEW LEVEL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:STONE-AGUIRRE
Authorized Official - Suffix:
Authorized Official - Credentials:MASTER'S OF SCIENCE
Authorized Official - Phone:252-380-1433
Mailing Address - Street 1:1851 W EHRINGHAUS ST STE 198
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27909-4555
Mailing Address - Country:US
Mailing Address - Phone:252-380-1433
Mailing Address - Fax:
Practice Address - Street 1:173 BILLETTS BRIDGE ROAD
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NC
Practice Address - Zip Code:27921
Practice Address - Country:US
Practice Address - Phone:252-380-1433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty