Level Up Community Service Program LLC

NPI #1871226977 in Lithonia, Georgia

Provider Information

NPI Number: 1871226977
Entity Type: Organization
Organization Name: Level Up Community Service Program LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jul 6, 2022
Last Updated: Jul 6, 2022

Practice Location

Address: 6754 GREY ROCK WAY
City: Lithonia
State: Georgia
ZIP Code: 30058-3077
Phone: (678) 849-0505

Authorized Official

Name: DR. DEBORAH E SILLS, PHD LCSW
Title: EXECUTIVE DIRECTOR
Phone: (678) 849-0505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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