Healthcare Provider Details

I. General information

NPI: 1093641714
Provider Name (Legal Business Name): LEVELING UP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 MONROE ST STE B207
SYLVANIA OH
43560-2728
US

IV. Provider business mailing address

5600 MONROE ST STE B207
SYLVANIA OH
43560-2728
US

V. Phone/Fax

Practice location:
  • Phone: 419-327-7475
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: IESHA AUSTIN-OWENS
Title or Position: CEO
Credential:
Phone: 419-327-7475