Healthcare Provider Details

I. General information

NPI: 1275154056
Provider Name (Legal Business Name): HIGHER LEVEL SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2020
Last Update Date: 05/02/2020
Certification Date: 05/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8206 LOUISIANA BLVD NE STE A108
ALBUQUERQUE NM
87113-1738
US

IV. Provider business mailing address

8206 LOUISIANA BLVD NE STE A108
ALBUQUERQUE NM
87113-1738
US

V. Phone/Fax

Practice location:
  • Phone: 844-548-3588
  • Fax: 844-548-3588
Mailing address:
  • Phone: 844-548-3588
  • Fax: 844-548-3588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374700000X
TaxonomyTechnician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: NICHOLE HOLMES
Title or Position: CEO
Credential: BCBA
Phone: 480-508-2555