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General NPI Number Information
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NPI Number | 1821605064
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Entity Type | Organization
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Legal Business Name | LEVEL UP COUNSELING AND CONSULTING INC
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Dates
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Enumeration Date | 09/30/2020
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Last Update Date | 09/30/2020
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Provider Practice Location Address
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Address Line | 21225 KELLY RD STE 5
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City | EASTPOINTE
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State | MI
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Zip | 48021-3100
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Country | US
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Telephone | 586-362-8161
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Fax |
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Provider Business Mailing Address
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Address Line | 21225 KELLY RD STE 5
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City | EASTPOINTE
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State | MI
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Zip | 48021-3100
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Country | US
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Telephone | 586-362-8161
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | LASHELLA SAVAGE
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Credential | CADC, LPC, CCS
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Telephone | 313-286-1665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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