Provider Demographics
NPI:1881477420
Name:LEVELS OF ELEVATION, LLC
Entity type:Organization
Organization Name:LEVELS OF ELEVATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:NICHOLSON
Authorized Official - Suffix:
Authorized Official - Credentials:MHS
Authorized Official - Phone:856-655-8936
Mailing Address - Street 1:801 W PARK AVE SUITE 31C
Mailing Address - Street 2:
Mailing Address - City:LINDENWOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:08021-3644
Mailing Address - Country:US
Mailing Address - Phone:856-655-8936
Mailing Address - Fax:
Practice Address - Street 1:801 W PARK AVE SUITE 31C
Practice Address - Street 2:
Practice Address - City:LINDENWOLD
Practice Address - State:NJ
Practice Address - Zip Code:08021-3644
Practice Address - Country:US
Practice Address - Phone:856-655-8936
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health