Provider Demographics
NPI:1659511160
Name:ERIK LEVY PSYD
Entity Type:Organization
Organization Name:ERIK LEVY PSYD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEVY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:407-408-5906
Mailing Address - Street 1:3323 MONIKA CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32812-7305
Mailing Address - Country:US
Mailing Address - Phone:407-408-5906
Mailing Address - Fax:
Practice Address - Street 1:3323 MONIKA CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32812-7305
Practice Address - Country:US
Practice Address - Phone:407-408-5906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-23
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 5702251S00000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No251S00000XAgenciesCommunity/Behavioral Health