Healthcare Provider Details
I. General information
NPI: 1093541666
Provider Name (Legal Business Name): HELEN ILANA LEVIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/11/2024
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2395 LANCASTER PIKE FL 1
READING PA
19607-2375
US
IV. Provider business mailing address
2395 LANCASTER PIKE FL 1
READING PA
19607-2375
US
V. Phone/Fax
- Phone: 570-561-2990
- Fax: 833-411-5741
- Phone: 570-561-2982
- Fax: 570-300-1829
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | SP030622 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: