Provider Demographics
NPI:1447784533
Name:NEXT LEVEL THERAPY, NW LLC
Entity type:Organization
Organization Name:NEXT LEVEL THERAPY, NW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCALES
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:206-486-4805
Mailing Address - Street 1:202 S 348TH ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-7070
Mailing Address - Country:US
Mailing Address - Phone:206-486-4805
Mailing Address - Fax:253-874-0477
Practice Address - Street 1:202 S 348TH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-7070
Practice Address - Country:US
Practice Address - Phone:206-486-4805
Practice Address - Fax:253-874-0477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-14
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF60591454251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2050367Medicaid