Provider Demographics
NPI:1396414959
Name:LEVIN, JULIA (AMFT)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:LEVIN
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:581 SANTA MONICA BLVD
Mailing Address - Street 2:PO BOX 188
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90069
Mailing Address - Country:US
Mailing Address - Phone:657-233-0798
Mailing Address - Fax:
Practice Address - Street 1:321 N LARCHMONT BLVD STE 622
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90004-6406
Practice Address - Country:US
Practice Address - Phone:657-233-0798
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-08
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT123886106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist