| Doctor Name: | MRS. MICHELE Q LEVINE |
| NPI Number: | 1013062967 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., LPC |
| License Number: | 000270 |
| Business Practice Address: | 100 Market Sq Ste 10 Newington, CT - 061112921 |
| Business Phone Number: | 8605198571 |
| Business Fax Number: | 8606676008 |
| Mailing Address: | 944 Hemingway Cir, TAMPA |
| State: | FL |
| Postal Code: | 336025980 |
| Phone Number: | 8602124129 |
| Fax Number: | 8606676008 |
| NPI Enumeration Date: | 01/23/2007 |
| NPI Last Update Date: | 08/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 000270 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |