Organization
LEVINE BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY LEVINE LCPC (OWNER, FOUNDER, MANAGER)
(310) 428-0232
Entity
Organization
Contact information
Practice address
1 E ERIE ST STE 525-3022, CHICAGO, IL 60611-2740
(310) 428-0232
(310) 388-4678
Mailing address
15515 W SUNSET BLVD UNIT 117, PACIFIC PALISADES, CA 90272-3530
(310) 428-0232
(310) 388-4678
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/11/2022
Last updated
12/09/2022
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