| Andrew Levine, LPC | |
|
16220 W Main St, Louisville, MS 39339-2639 | |
| (662) 773-9377 | |
| (662) 773-9025 |
| Full Name | Andrew Levine |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 16220 W Main St, Louisville, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194050161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1491 (Mississippi) | Primary |
| Entity Name | Region Seven Mental Health Intellectual Disabilities Comm |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700894730 PECOS PAC ID: 3072531953 Enrollment ID: O20051109000565 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Levine, LPC 302 N Jackson St, Starkville, MS 39759-2504 Ph: (662) 323-9261 | Andrew Levine, LPC 16220 W Main St, Louisville, MS 39339-2639 Ph: (662) 773-9377 |
Stephanie Taylor, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 507 W Main St, Louisville, MS 39339 Phone: 662-773-9377 Fax: 662-773-9025 | |
Yen Chu Chen, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 507 W Main St, Louisville, MS 39339 Phone: 662-773-9377 Fax: 662-773-9025 | |
Ms. Michelle J Plante, LPC, CCAP, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 507 W Main St, Louisville, MS 39339 Phone: 662-773-9377 Fax: 662-773-9025 | |
Kimberly Letrese Carter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 507 W Main St, Louisville, MS 39339 Phone: 662-773-9377 Fax: 662-773-9025 | |
Marquita Smith, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 507 W Main St, Louisville, MS 39339 Phone: 662-773-9377 Fax: 662-773-9025 | |
Aleesha O Robinson, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 507 W Main St, Louisville, MS 39339 Phone: 662-773-9377 Fax: 662-773-9025 |