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Organization

AEVUM BH VA LLC

Active
Other names
Aevum Behavioral Health
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEVI LIPOVENKO PSYD (CEO)
(804) 446-1710
Entity
Organization

Contact information

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

Taxonomy

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

Other

Enumeration date
09/30/2024
Last updated
01/29/2026
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