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NPI Code Detail

MEDICARE: DR. SUSAN LEVIN PH.D., LPC, LMFT

MEDICARE: DR. SUSAN LEVIN PH.D., LPC, 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
1101YM0800XMental Health Counselor9880TX
2106H00000XMarriage & Family Therapist42144TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11553LCOTHERTXBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1952312670
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUSAN LEVIN PH.D., LPC, LMFT
Provider Business Mailing Address
First Line : 3316 MOUNT VERNON ST
Second Line :
City : HOUSTON
State : TX
Zip : 77006-3829
Country : US
Telephone Number : 713-526-8390
Fax Number : 713-528-2618
Provider Business Practice Location Address
First Line : 3316 MOUNT VERNON ST
Second Line :
City : HOUSTON
State : TX
Zip : 77006-3829
Country : US
Telephone Number : 713-526-8390
Fax Number : 713-528-2618
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2006
Last Update Date : 09/11/2025

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