Provider Demographics
NPI:1063651776
Name:LEVERONE, JAMES TIMOTHY (LMHC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:TIMOTHY
Last Name:LEVERONE
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02770-1811
Mailing Address - Country:US
Mailing Address - Phone:508-990-0852
Mailing Address - Fax:508-990-4777
Practice Address - Street 1:333 UNION ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-3665
Practice Address - Country:US
Practice Address - Phone:508-990-0852
Practice Address - Fax:508-990-4777
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-19
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 9589101YM0800X
MA8448101YM0800X
RIMHC00579101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health