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Organization
AEVUM INTEGRATED HEALTH VA LLC
Active
Organization
AEVUM INTEGRATED HEALTH VA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEVI LIPOVENKO (CEO)
(434) 603-4835
Entity
Organization
Contact information
Practice address
202 AGEE ST, FARMVILLE, VA 23901-2617
(434) 603-4835
Mailing address
175 ROUTE 70 STE 303, TOMS RIVER, NJ 08755-0936
(434) 603-4835
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/19/2026
Last updated
01/28/2026
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