Organization
LEVEL UP BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN CLARK LCSW (PROVIDER)
(239) 220-7745
Entity
Organization
Contact information
Practice address
708 GOODLETTE-FRANK RD N STE 344, NAPLES, FL 34102-5644
(239) 220-7745
Mailing address
4127 ZELKOVA CT, NAPLES, FL 34119-9052
(239) 220-7745
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
01/31/2024
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