Healthcare Provider Details

I. General information

NPI: 1649182759
Provider Name (Legal Business Name): LEVITY BEHAVIORAL HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

623 PARK MEADOW RD STE G
WESTERVILLE OH
43081-2876
US

IV. Provider business mailing address

623 PARK MEADOW RD STE G
WESTERVILLE OH
43081-2876
US

V. Phone/Fax

Practice location:
  • Phone: 231-758-4248
  • Fax: 989-775-7979
Mailing address:
  • Phone: 231-758-4248
  • Fax: 989-775-7979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: AMY BRENT
Title or Position: CFO
Credential:
Phone: 231-758-4248