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NPI Code Detail

MEDICARE: MRS. LAURA E LEVINE MHC

MEDICARE:  MRS. LAURA E LEVINE  MHC
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
1101YM0800XMental Health CounselorMHC00136RI
2101YA0400XAddiction (Substance Use Disorder) CounselorCPC00214RI

General Provider Information

NPI Number : 1972626760
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAURA E LEVINE MHC
Provider Business Mailing Address
First Line : 252 4TH ST
Second Line :
City : PROVIDENCE
State : RI
Zip : 02906-3754
Country : US
Telephone Number : 401-383-0395
Fax Number :
Provider Business Practice Location Address
First Line : 1052 PARK AVE
Second Line :
City : CRANSTON
State : RI
Zip : 02910-3225
Country : US
Telephone Number : 401-275-5039
Fax Number : 401-946-9340
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2007
Last Update Date : 09/23/2024

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Directions to “ MRS. LAURA E LEVINE MHC” Practice Location

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