Provider Demographics
NPI:1679908222
Name:LEVI-MINZI, MICOL (PSYD)
Entity type:Individual
Prefix:DR
First Name:MICOL
Middle Name:
Last Name:LEVI-MINZI
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5546 CAMINO AL NORTE STE 2-241
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-0805
Mailing Address - Country:US
Mailing Address - Phone:725-777-1248
Mailing Address - Fax:
Practice Address - Street 1:5546 CAMINO AL NORTE STE 2-241
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-0805
Practice Address - Country:US
Practice Address - Phone:725-777-1248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-13
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPY1239103T00000X
FLPY8858103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist