MEDICARE: MS. ARLENE GROSS LEVY M.ED.

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	177	FL
2	101YM0800X	Mental Health Counselor	MH1584	FL
3	101YM0800X	Mental Health Counselor	208	MA
4	101YP2500X	Professional Counselor	507	NC
5	104100000X	Social Worker	204777	MA
6	106H00000X	Marriage & Family Therapist	192	MA

General Provider Information

NPI Number	:	1033389747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ARLENE GROSS LEVY M.ED.

Provider Business Mailing Address
First Line	:	1320 SOUTH DIXIE HIGHWAY
Second Line	:	UNIVERSITY OF MIAMI BEHAVIORAL HEALTH
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-2940
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1320 SOUTH DIXIE HIGHWAY
Second Line	:	UNIVERSITY OF MIAMI BEHAVIORAL HEALTH
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-2940
Country	:	US
Telephone Number	:	305-243-7291
Fax Number	:	305-243-7269

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2008
Last Update Date	:	03/10/2008

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