Provider Demographics
NPI:1548642119
Name:LEVY, BRITTANY K (LCPC)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:K
Last Name:LEVY
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4526 N. RAVENSWOOD AVE
Mailing Address - Street 2:SUITE 313
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-2419
Mailing Address - Country:US
Mailing Address - Phone:312-725-2014
Mailing Address - Fax:
Practice Address - Street 1:4526 N. RAVENSWOOD AVE
Practice Address - Street 2:SUITE 313
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-2419
Practice Address - Country:US
Practice Address - Phone:312-725-2014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-19
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.008955101Y00000X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health