Provider Demographics
NPI:1891561635
Name:LEVINE, NATANYA MARCUS (LPC NCC)
Entity Type:Individual
Prefix:
First Name:NATANYA
Middle Name:MARCUS
Last Name:LEVINE
Suffix:
Gender:F
Credentials:LPC NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1375 KENYON ST NW APT 203
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-7205
Mailing Address - Country:US
Mailing Address - Phone:202-341-1400
Mailing Address - Fax:
Practice Address - Street 1:1375 KENYON ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2398
Practice Address - Country:US
Practice Address - Phone:202-341-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701013091101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional