NPIMap

Organization Active NPI

Next Level Therapy and Wellness Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Stockbridge, GA
National Provider Identifier
1730622564
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
LPC006950 Issued in GA
Legal business name
NEXT LEVEL THERAPY AND WELLNESS SERVICES, LLC
Practice address
157 Burke St
Suite 107
Stockbridge, GA 30281-3433
Phone
(678) 208-3143
NPI assigned
Nov 28, 2016
Last updated
Nov 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ursula Michelle Davis, LPCNPI 1154781797
Title
Owner
Phone
(678) 862-3383

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X LPC006950 GA Primary

Addresses

Primary practice location

157 Burke St
Suite 107
Stockbridge, GA 30281-3433

Mailing address

157 Burke St
Suite 107
Stockbridge, GA 30281-3433
Phone (678) 208-3143

Other identifiers 1

IdentifierTypeStateIssuer
003174472MedicaidGA

National Provider Directory

National Provider Directory

Locations

157 Burke St
Ste 107
Stockbridge, GA 30281
Phone (404) 919-3868

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1730622564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 BURKE ST",
            "address_2": "SUITE 107",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813433",
            "telephone_number": "678-208-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 BURKE ST",
            "address_2": "SUITE 107",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813433",
            "telephone_number": "678-208-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXT LEVEL THERAPY AND WELLNESS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "URSULA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-862-3383",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "GA",
            "license": "LPC006950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003174472",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.