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NPI Code Detail

MEDICARE: MADYSON LEVINSON LMHC

MEDICARE: MADYSON LEVINSON LMHC
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
1101YA0400XAddiction (Substance Use Disorder) CounselorMH19200FL
2101YM0800XMental Health CounselorMH19200FL
3101YP2500XProfessional CounselorMH19200FL
4101Y00000XCounselorMH19200FL

General Provider Information

NPI Number : 1619542487
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADYSON LEVINSON LMHC
Provider Business Mailing Address
First Line : 2 S BISCAYNE BLVD STE 2600
Second Line :
City : MIAMI
State : FL
Zip : 33131-1819
Country : US
Telephone Number : 561-614-5967
Fax Number :
Provider Business Practice Location Address
First Line : 1431 SW 9TH AVE
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-6220
Country : US
Telephone Number : 954-953-1659
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2021
Last Update Date : 05/24/2021

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