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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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