NPI 1013774082

Leveled Up Reentry

Organisation Case Management Agency Tacoma, WA

Practice location

Address: 7821 S Park Ave, Tacoma, WA 98408-5314
Phone: (253) 878-8888
Mailing address: 4227 S Meridian STE D421, Puyallup, WA 98373-3603

Authorised official

Name: Latanisha Booker
Title: Ceo
Phone: (253) 878-8888

Registered specialties (4)

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Health & Wellness Coach

Other Service Providers Taxonomy 171400000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Voluntary or Charitable Agency

Agencies Taxonomy 251V00000X

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Registry record

NPI: 1013774082
Entity type: Organization
NPI issued: 5 Mar 2024
Record last updated: 5 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.