Provider Demographics
NPI: | 1386455087 |
---|---|
Name: | LEVELING UP TRANSITIONAL CARE, LLC |
Entity type: | Organization |
Organization Name: | LEVELING UP TRANSITIONAL CARE, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OPERATING OFFICER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | LORENE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BARNES |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 502-403-7813 |
Mailing Address - Street 1: | 7618 EAGLE LANDING WAY |
Mailing Address - Street 2: | |
Mailing Address - City: | LOUISVILLE |
Mailing Address - State: | KY |
Mailing Address - Zip Code: | 40214-5455 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 502-403-7813 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 2416 BRADLEY AVE |
Practice Address - Street 2: | |
Practice Address - City: | LOUISVILLE |
Practice Address - State: | KY |
Practice Address - Zip Code: | 40217-1836 |
Practice Address - Country: | US |
Practice Address - Phone: | 502-403-7813 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2025-01-14 |
Last Update Date: | 2025-02-21 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
No | 251B00000X | Agencies | Case Management |