MEDICARE: LAUREN ELLEN LEVINE LPC-S

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	101Y00000X	Counselor	PCO18837	PA
2	101YP2500X	Professional Counselor	P0204020	AR

General Provider Information

NPI Number	:	1154497469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN ELLEN LEVINE LPC-S

Provider Business Mailing Address
First Line	:	134 S HIGHLAND AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15206-3968
Country	:	US
Telephone Number	:	479-236-4172
Fax Number	:

Provider Business Practice Location Address
First Line	:	134 S HIGHLAND AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15206-3968
Country	:	US
Telephone Number	:	479-236-4172
Fax Number	:

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

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	08/19/2025

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