# AEVUM BH VA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Aevum Behavioral Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225856008
- **Authorized official:** DR. LEVI LIPOVENKO PSYD (CEO)
- **Authorized official phone:** (804) 446-1710

## Contact information

- **Practice address:** 4403 FOREST HILL AVE, RICHMOND, VA 23225-3241
- **Practice address phone:** (848) 210-0028
- **Mailing address:** 440 SYLVAN AVE STE 240, ENGLEWOOD CLIFFS, NJ 07632-2700
- **Mailing address phone:** (804) 446-1710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/30/2024
- **Last updated:** 01/29/2026