MEDICARE: ADI LEVY LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	106H00000X	Marriage & Family Therapist	203838	TX
3	106H00000X	Marriage & Family Therapist	0717002002	VA
4	106H00000X	Marriage & Family Therapist	87593	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174831614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADI LEVY LMFT

Provider Business Mailing Address
First Line	:	5855 TOPANGA CANYON BLVD STE 150
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91367-4685
Country	:	US
Telephone Number	:	818-636-4818
Fax Number	:

Provider Business Practice Location Address
First Line	:	9 LAS FLORES DR
Second Line	:
City	:	WIMBERLEY
State	:	TX
Zip	:	78676-3647
Country	:	US
Telephone Number	:	818-636-4818
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/17/2010
Last Update Date	:	03/23/2023

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Directions to “ ADI LEVY LMFT” Practice Location

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