Healthcare Provider Details

I. General information

NPI: 1528970910
Provider Name (Legal Business Name): LLEVOL BEHAVIORAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3602 BLUE CYPRESS DR
SPRING TX
77388-5709
US

IV. Provider business mailing address

504 E KESLEY LN
SAINT JOHNS FL
32259-6292
US

V. Phone/Fax

Practice location:
  • Phone: 281-595-0069
  • Fax: 281-595-0067
Mailing address:
  • Phone: 281-595-0069
  • Fax: 281-595-0067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: LOVELL DAVIS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 281-595-0069