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Contact Information

LEVELED UP REENTRY
7821 S PARK AVE
TACOMA, WA98408-5314
 Phone: 253-878-8888
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
 

Community/Behavioral Health

251S00000X
 

Health & Wellness Coach

171400000X
 

Voluntary or Charitable

251V00000X 61 Voluntary Health or Charitable Agency[1]
Indicates primary specialty

NPI Profile & details for LEVELED UP REENTRY

NPI Number 1013774082
LBN Legal business name LEVELED UP REENTRY
Authorized official LATANISHA BOOKER - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/05/2024
Last updated 03/05/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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