MEDICARE: ZARLE THERAPEUTIC SERVICES

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	101YP2500X	Professional Counselor	6981	NC

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

General Provider Information

NPI Number	:	1588957724
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZARLE THERAPEUTIC SERVICES

Provider Business Mailing Address
First Line	:	500 E. MAIN ST SUITE 1600
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23510
Country	:	US
Telephone Number	:	757-811-2301
Fax Number	:	910-346-2393

Provider Business Practice Location Address
First Line	:	500 E. MAIN ST SUITE 1600
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23510
Country	:	US
Telephone Number	:	757-811-2301
Fax Number	:	901-401-1322

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	MR. TERRANCE ALFRED LEVINE
Credential	:	LPC, CCSOTS, NCC
Telephone Number	:	910-581-4105

Provider Enumeration Date	:	05/20/2011
Last Update Date	:	01/26/2026

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