Provider Demographics
NPI:1932746971
Name:LEVINA, LYUDMILA (LMHC)
Entity Type:Individual
Prefix:
First Name:LYUDMILA
Middle Name:
Last Name:LEVINA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2238 N CYPRESS BEND DR APT 704
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-5607
Mailing Address - Country:US
Mailing Address - Phone:917-273-2120
Mailing Address - Fax:
Practice Address - Street 1:2238 N CYPRESS BEND DR APT 704
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-5607
Practice Address - Country:US
Practice Address - Phone:917-273-2120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-10
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009056101YM0800X
NJ37PC00825700101YP2500X
FLMH20008101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional