Healthcare Provider Details

I. General information

NPI: 1083000921
Provider Name (Legal Business Name): NEXT LEVEL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2015
Last Update Date: 04/26/2024
Certification Date: 04/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

485 HUNTINGTON ROAD SUITE 197
ATHENS GA
30606
US

IV. Provider business mailing address

485 HUNTINGTON ROAD SUITE 197
ATHENS GA
30606
US

V. Phone/Fax

Practice location:
  • Phone: 404-500-9195
  • Fax:
Mailing address:
  • Phone: 404-500-9195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. CHELSEA HALL
Title or Position: CLINICAL DIRECTOR/COUNSELOR
Credential: PHD, LPC
Phone: 404-500-9195