| Doctor Name: | MS. LEVON OLIVIA HATATHLIE |
| NPI Number: | 1366657843 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW |
| License Number: | LISAC-10327 |
| Business Practice Address: | Navajo Route 4 Pinon, AZ - 865100010 |
| Business Phone Number: | 9287253220 |
| Business Fax Number: | 9287253613 |
| Mailing Address: | Po Box Ph, CHINLE |
| State: | AZ |
| Postal Code: | 865038000 |
| Phone Number: | 9286747166 |
| Fax Number: | 9286747705 |
| NPI Enumeration Date: | 05/10/2007 |
| NPI Last Update Date: | 05/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | LISAC-10327 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |