Provider Demographics
NPI:1851513212
Name:LEVEY, LYNN ANNE (LPCC)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:ANNE
Last Name:LEVEY
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 TIJERAS AVE NW
Mailing Address - Street 2:SUITE 302
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87102-2946
Mailing Address - Country:US
Mailing Address - Phone:575-499-7644
Mailing Address - Fax:
Practice Address - Street 1:1805 CARLISLE AVE
Practice Address - Street 2:HEALTHY FAMILIES ABQ
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106
Practice Address - Country:US
Practice Address - Phone:505-459-2911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0125221101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM75829576Medicaid