Provider Demographics
NPI:1932952744
Name:LEVELS MENTAL HEALTH LLC
Entity Type:Organization
Organization Name:LEVELS MENTAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SUPERVISOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCELLE
Authorized Official - Suffix:JR
Authorized Official - Credentials:DHA, LPC, LSATP
Authorized Official - Phone:631-805-3257
Mailing Address - Street 1:2400 PERRY ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-3836
Mailing Address - Country:US
Mailing Address - Phone:631-805-3257
Mailing Address - Fax:
Practice Address - Street 1:25700 INTERSTATE 45 # 4119
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77386-1364
Practice Address - Country:US
Practice Address - Phone:631-805-3257
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty