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Organization
AEVUM BEHAVIORAL HEALTH VA LLC
Active
Organization
AEVUM BEHAVIORAL HEALTH VA LLC
Active
Other names
Aevum Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEVI LIPOVENKO PSYD (CEO)
(848) 210-0028
Entity
Organization
Contact information
Practice address
4403 FOREST HILL AVE, RICHMOND, VA 23225-3241
(848) 210-0028
Mailing address
2324 FOREST CIR, TOMS RIVER, NJ 08755-0979
(917) 780-2351
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/26/2024
Last updated
09/21/2024
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