| Aevum Bh Va Llc | |
|
4403 Forest Hill Ave Richmond VA 23225-3241 | |
| (848) 210-0028 | |
| Not Available |
| Full Name | Aevum Bh Va Llc |
|---|---|
| Speciality | General Practice |
| Location | 4403 Forest Hill Ave, Richmond, Virginia |
| Authorized Official Name and Position | Levi Lipovenko (CEO) |
| Authorized Official Contact | 8044461710 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aevum Bh Va Llc 440 Sylvan Ave Ste 240 Englewood Cliffs NJ 07632-2700 Ph: (804) 446-1710 | Aevum Bh Va Llc 4403 Forest Hill Ave Richmond VA 23225-3241 Ph: (848) 210-0028 |
| NPI Number | 1225856008 |
|---|---|
| Provider Enumeration Date | 09/30/2024 |
| Last Update Date | 01/29/2026 |
| Certification Date | 01/29/2026 |
| Medicare PECOS PAC ID | 3274067210 |
|---|---|
| Medicare Enrollment ID | O20241113000945 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225856008 | NPI | - | NPPES |
| Provider Name | Julie M Smyser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619990181 PECOS PAC ID: 3870697097 Enrollment ID: I20070328000439 |
| Provider Name | Amaechi Egbujuo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386376051 PECOS PAC ID: 0648647552 Enrollment ID: I20221107001517 |
| Provider Name | Lerese A Deberry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124686050 PECOS PAC ID: 6406204403 Enrollment ID: I20231201001236 |
| Provider Name | Cheryl Edwards Ponton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699385385 PECOS PAC ID: 6002266392 Enrollment ID: I20231228003179 |
| Provider Name | Lynnay Sierra Lewis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821833021 PECOS PAC ID: 1355880659 Enrollment ID: I20240830001476 |
| Provider Name | Levi Lipovenko |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609352608 PECOS PAC ID: 4082089859 Enrollment ID: I20241113001561 |
| Provider Name | Sarah C Allen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588487003 PECOS PAC ID: 0042748048 Enrollment ID: I20250103001345 |
| Provider Name | Kenneth Mbuen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932938016 PECOS PAC ID: 8729513031 Enrollment ID: I20250108000008 |
| Provider Name | Adenike F Abdulraheem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467260901 PECOS PAC ID: 0042732950 Enrollment ID: I20250320001599 |
| Provider Name | Adenike F Abdulraheem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467260901 PECOS PAC ID: 0042732950 Enrollment ID: I20250331000981 |
| Provider Name | Rebecca Assadnia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891366233 PECOS PAC ID: 2163886961 Enrollment ID: I20250404000939 |
| Provider Name | Ashley Bailey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598210692 PECOS PAC ID: 8022537117 Enrollment ID: I20250521003312 |
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