Provider Demographics
NPI:1174831614
Name:LEVY, ADI (LMFT)
Entity Type:Individual
Prefix:
First Name:ADI
Middle Name:
Last Name:LEVY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5855 TOPANGA CANYON BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-4685
Mailing Address - Country:US
Mailing Address - Phone:818-636-4818
Mailing Address - Fax:
Practice Address - Street 1:9 LAS FLORES DR
Practice Address - Street 2:
Practice Address - City:WIMBERLEY
Practice Address - State:TX
Practice Address - Zip Code:78676-3647
Practice Address - Country:US
Practice Address - Phone:818-636-4818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-17
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
TX203838106H00000X
VA0717002002106H00000X
CA87593106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA19685600Medicaid
CACMM70956FMedicaid