Provider Demographics
NPI:1790509552
Name:LEVEL UP CONSULTING GROUP
Entity type:Organization
Organization Name:LEVEL UP CONSULTING GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:K
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:215-901-9900
Mailing Address - Street 1:4651 MIRABELLA CT
Mailing Address - Street 2:
Mailing Address - City:ST PETE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33706-2579
Mailing Address - Country:US
Mailing Address - Phone:215-901-9900
Mailing Address - Fax:
Practice Address - Street 1:4651 MIRABELLA CT
Practice Address - Street 2:
Practice Address - City:ST PETE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33706-2579
Practice Address - Country:US
Practice Address - Phone:215-901-9900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-08
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty