Doctor Name: | LARS L LEVY |
NPI Number: | 1447472154 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | BS |
License Number: | CCGC # 10 |
Business Practice Address: | 1200 Victor Ii Blvd Morgan City, LA - 703801350 |
Business Phone Number: | 9853848788 |
Business Fax Number: | 9853848799 |
Mailing Address: | 2620 Fir Dr, MORGAN CITY |
State: | LA |
Postal Code: | 703801019 |
Phone Number: | 9853853512 |
Fax Number: | 9853853803 |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | CCGC # 10 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |