Leveled Up Therapy LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LEVELED UP THERAPY LLC

Practice address

1001 Pat Booker Rd Ste 200
Universal City, TX 78148-4148

Phone

(210) 391-6703

Fax

(210) 783-1906

NPI assigned

Jun 13, 2024

Organization subpart

No

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

Authorized official

Name

Samantha Zentner

Title

Billing Manager

Phone

(210) 391-6703

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1861235350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PAT BOOKER RD STE 200",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781484148",
            "telephone_number": "210-391-6703",
            "fax_number": "210-783-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PAT BOOKER RD STE 200",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781484148",
            "telephone_number": "210-391-6703",
            "fax_number": "210-783-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVELED UP THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "ZENTNER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "210-391-6703"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob John Lamoreaux, RBT
• Helen Leona Lane
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• Yanneth Guadalupe Longoria, WHNP

• Mental Health Counselor in Universal City, TX
• Providers in Universal City, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.