Provider Demographics
NPI:1225185895
Name:LEVITOV, JUSTIN E (LPC)
Entity Type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:E
Last Name:LEVITOV
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 ARIS AVE
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-1715
Mailing Address - Country:US
Mailing Address - Phone:504-838-6845
Mailing Address - Fax:504-838-6845
Practice Address - Street 1:122 SIERRA CT
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-5326
Practice Address - Country:US
Practice Address - Phone:504-838-6845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA72101YM0800X
LA285106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist