Provider Demographics
NPI:1548029465
Name:LEVINGS, JANE SHIPPEN (LAPC)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:SHIPPEN
Last Name:LEVINGS
Suffix:
Gender:F
Credentials:LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3380 E WOOD VALLEY RD NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-1524
Mailing Address - Country:US
Mailing Address - Phone:404-895-1322
Mailing Address - Fax:
Practice Address - Street 1:6 LENOX POINTE NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-3167
Practice Address - Country:US
Practice Address - Phone:678-378-9485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-14
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC009525101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health