Organization
LEVEL WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BRIAN PIPPINGER LMHC (OWNER)
(727) 344-9607
Entity
Organization
Contact information
Practice address
360 CENTRAL AVE FL 8, ST PETERSBURG, FL 33701-3832
(727) 344-9607
Mailing address
765 60TH AVE NE, ST PETERSBURG, FL 33703-1629
(813) 505-0224
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770023467
—
FL
Enumeration date
05/31/2018
Last updated
05/31/2018
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