Provider Demographics
NPI:1144667973
Name:LEVI, STEPHANIE L (LPC)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:L
Last Name:LEVI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1139 N 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85705-6603
Mailing Address - Country:US
Mailing Address - Phone:773-814-1086
Mailing Address - Fax:520-391-5608
Practice Address - Street 1:3071 N SWAN RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-1259
Practice Address - Country:US
Practice Address - Phone:872-210-5043
Practice Address - Fax:520-391-5608
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-03
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ18539101YP2500X
IL180006333101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional