Provider Demographics
NPI:1427012269
Name:LEVIN, BARBARA (LSW LICDC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:LEVIN
Suffix:
Gender:F
Credentials:LSW LICDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24500 CENTER RIDGE RD STE 110
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-5604
Mailing Address - Country:US
Mailing Address - Phone:440-787-6311
Mailing Address - Fax:440-703-5290
Practice Address - Street 1:24500 CENTER RIDGE RD STE 110
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-5604
Practice Address - Country:US
Practice Address - Phone:440-787-6311
Practice Address - Fax:440-703-5290
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LICDC944022101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)