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NPI Code Detail

MEDICARE: MR. TERRANCE ALFRED LEVINE LPC, CCSOTS

MEDICARE:  MR. TERRANCE ALFRED LEVINE  LPC, CCSOTS
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
1101YP2500XProfessional Counselor6981NC
2390200000XStudent in an Organized Health Care Education/Training Program

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2495133OTHERNCTRICARE

General Provider Information

NPI Number : 1386819050
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TERRANCE ALFRED LEVINE LPC, CCSOTS
Provider Business Mailing Address
First Line : 500 E MAIN ST STE 1600-168
Second Line :
City : NORFOLK
State : VA
Zip : 23510-2205
Country : US
Telephone Number : 757-418-0348
Fax Number :
Provider Business Practice Location Address
First Line : 2444 COMMERCE RD
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-7560
Country : US
Telephone Number : 910-650-2227
Fax Number : 910-346-2393
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2008
Last Update Date : 03/04/2022

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Directions to “ MR. TERRANCE ALFRED LEVINE LPC, CCSOTS” Practice Location

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