Organization
NEXT LEVEL THERAPY AND WELLNESS SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
URSULA MICHELLE DAVIS LPC (OWNER)
(678) 862-3383
Entity
Organization
Contact information
Practice address
157 BURKE ST, SUITE 107, STOCKBRIDGE, GA 30281-3433
(678) 208-3143
Mailing address
157 BURKE ST, SUITE 107, STOCKBRIDGE, GA 30281-3433
(678) 208-3143
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LPC006950
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003174472
—
GA
Enumeration date
11/28/2016
Last updated
11/28/2016
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