Healthcare Provider Details

I. General information

NPI: 1962310011
Provider Name (Legal Business Name): NEW LEVEL BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4470 N 38TH ST
MILWAUKEE WI
53209-5912
US

IV. Provider business mailing address

4470 N 38TH ST
MILWAUKEE WI
53209-5912
US

V. Phone/Fax

Practice location:
  • Phone: 414-617-6862
  • Fax:
Mailing address:
  • Phone: 414-617-6862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY RENEE MOORER
Title or Position: THERAPIST/ OWNER
Credential: LPC
Phone: 414-617-6862