Individual
ANTHONIA LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LMHC, LPC.
Contact information
Practice address
157 HAMPTON POINT DR STE 1, ST AUGUSTINE, FL 32092-3054
(904) 415-3755
Mailing address
157 HAMPTON POINT DR STE 1, ST AUGUSTINE, FL 32092-3054
(904) 415-3755
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0701006395
VA
101Y00000X
Counselor
LC4739
MD
101YM0800X
Mental Health Counselor
Primary
MH15316
FL
Other
Enumeration date
10/25/2012
Last updated
10/31/2017
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