MEDICARE: LYUDMILA LEVINA LMHC

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	009056	NY
2	101YP2500X	Professional Counselor	37PC00825700	NJ
3	101YM0800X	Mental Health Counselor	MH20008	FL

General Provider Information

NPI Number	:	1932746971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYUDMILA LEVINA LMHC

Provider Business Mailing Address
First Line	:	2238 N CYPRESS BEND DR APT 704
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-5607
Country	:	US
Telephone Number	:	917-273-2120
Fax Number	:

Provider Business Practice Location Address
First Line	:	2238 N CYPRESS BEND DR APT 704
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-5607
Country	:	US
Telephone Number	:	917-273-2120
Fax Number	:

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

Provider Enumeration Date	:	12/10/2019
Last Update Date	:	03/25/2024

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