| Levitate | |
|
2900 W Broadway Ste 16 Louisville KY 40211-1294 | |
| (502) 315-9969 | |
| Not Available |
| Full Name | Levitate |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2900 W Broadway Ste 16, Louisville, Kentucky |
| Authorized Official Name and Position | Laquisha Moore (CEO/LPCC) |
| Authorized Official Contact | 5023159969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Levitate 2900 W Broadway Ste 16 Louisville KY 40211-1294 Ph: (502) 315-9969 | Levitate 2900 W Broadway Ste 16 Louisville KY 40211-1294 Ph: (502) 315-9969 |
| NPI Number | 1851021844 |
|---|---|
| Provider Enumeration Date | 06/14/2022 |
| Last Update Date | 06/14/2022 |
| Certification Date | 06/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851021844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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