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Organization

AEVUM BH NC LLC

Active
Other names
Aevum Behavioral Health
Organization subpart
No

Provider details

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

Contact information

Practice address
635 STATESVILLE BLVD, SALISBURY, NC 28144-2201
(804) 446-1710
Mailing address
175 ROUTE 70 STE 303, TOMS RIVER, NJ 08755-0936
(804) 446-1710

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
03/26/2026
Last updated
03/26/2026
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