Individual
MADISON LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3200 SOUTHWEST FWY STE 2100, HOUSTON, TX 77027-7525
(833) 208-7770
Mailing address
3200 SOUTHWEST FWY STE 2100, HOUSTON, TX 77027-7525
(833) 208-7770
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
001615
NY
106H00000X
Marriage & Family Therapist
Primary
204538
TX
106H00000X
Marriage & Family Therapist
MFT.0001766
CO
106H00000X
Marriage & Family Therapist
MT4677
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023701
—
NJ
05
—
1669926945
—
TX
Enumeration date
08/04/2016
Last updated
11/01/2024
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