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General NPI Number Information
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NPI Number | 1386455087
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Entity Type | Organization
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Legal Business Name | LEVELING UP TRANSITIONAL CARE, LLC
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Dates
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Enumeration Date | 01/14/2025
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 2416 BRADLEY AVE
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City | LOUISVILLE
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State | KY
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Zip | 40217-1836
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Country | US
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Telephone | 502-403-7813
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Fax |
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Provider Business Mailing Address
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Address Line | 7618 EAGLE LANDING WAY
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City | LOUISVILLE
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State | KY
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Zip | 40214-5455
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Country | US
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Telephone | 502-403-7813
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Fax |
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Authorized Official
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Title or Position | OPERATING OFFICER
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Name | LORENE BARNES
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Credential |
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Telephone | 502-403-7813
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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