# AEVUM INTEGRATED HEALTH VA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790644516
- **Authorized official:** LEVI LIPOVENKO (CEO)
- **Authorized official phone:** (434) 603-4835

## Contact information

- **Practice address:** 202 AGEE ST, FARMVILLE, VA 23901-2617
- **Practice address phone:** (434) 603-4835
- **Mailing address:** 175 ROUTE 70 STE 303, TOMS RIVER, NJ 08755-0936
- **Mailing address phone:** (434) 603-4835

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 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