Provider Demographics
NPI:1306538608
Name:NEW LEVEL FAMILY SERVICES LLC
Entity type:Organization
Organization Name:NEW LEVEL FAMILY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LATRISHA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-236-8090
Mailing Address - Street 1:8929 J M KEYNES DR STE 350
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-5502
Mailing Address - Country:US
Mailing Address - Phone:980-236-8090
Mailing Address - Fax:980-201-9203
Practice Address - Street 1:8929 J M KEYNES DR STE 350
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-5502
Practice Address - Country:US
Practice Address - Phone:980-236-8090
Practice Address - Fax:980-201-9203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-24
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Single Specialty