MEDICARE: MS. MARILYN DIANE LEVY LPC

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	101YM0800X	Mental Health Counselor	LPC0244	AZ

General Provider Information

NPI Number	:	1841289584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARILYN DIANE LEVY LPC

Provider Business Mailing Address
First Line	:	8423 E KENYON DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85710-4229
Country	:	US
Telephone Number	:	520-721-8434
Fax Number	:

Provider Business Practice Location Address
First Line	:	8423 E KENYON DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85710-4229
Country	:	US
Telephone Number	:	520-721-8434
Fax Number	:	520-298-9637

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

Provider Enumeration Date	:	10/16/2005
Last Update Date	:	04/28/2026

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