Provider Demographics
NPI:1023564457
Name:LEVINE, CARRIE (LMHC)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:LEVINE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3280 SUNRISE HWY # 156
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-4024
Mailing Address - Country:US
Mailing Address - Phone:516-846-5756
Mailing Address - Fax:
Practice Address - Street 1:3280 SUNRISE HWY # 156
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-4024
Practice Address - Country:US
Practice Address - Phone:516-846-5756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-26
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health