Aevum Behavioral Health VA LLC
Organization Active NPI Mental Health Counselor · Richmond, VA
NPI 1104650985 · NPPES record last updated Sep 21, 2024
Key facts
- NPI
- 1104650985
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- AEVUM BEHAVIORAL HEALTH VA LLC
- Practice address
- 4403 Forest Hill Ave
Richmond, VA 23225-3241 - Phone
- (848) 210-0028
- NPI assigned
- Aug 26, 2024
- Organization subpart
- No
Authorized official
- Name
- Dr. Levi Lipovenko, PSYD
- Title
- Ceo
- Phone
- (848) 210-0028
Practitioners 36
-
Adenike Abdulraheem, PMHNP
-
Sarah Allen, LPC
-
Annette Alston, LPC
-
Esmerlada Amos, LPC
-
Byra Ciccolo, MSW
-
Andrea C Clarke Uter, PMHNP-BC
-
Megan Cohen, LCSW
-
Lerese A Deberry, LPC
-
Amaechi Egbujuo, APRN, PMHNP-BC
-
Whitney Evans Gooch, LPC
-
Melissa Marie Hunt, MSW, LCSW
-
Anthony G Ladikos, LPC
-
Lynnay Sierra Lewis, LPC
-
Osita Mgbendi, DNP- PMHNP
-
Virgil D Perryman III, LCSW
-
Renimol Philip, DNP, PMHNP-BC, BSN
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes | ||
| Psychologist |
103T00000X | |||
| Clinical Social Worker |
1041C0700X | |||
| Marriage & Family Therapist |
106H00000X | |||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X |
Addresses
Primary practice location
4403 Forest Hill Ave
Richmond, VA 23225-3241
Mailing address
2324 Forest Cir
Toms River, NJ 08755-0979
Phone (917) 780-2351
Other names
- Aevum Behavioral Health
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All providers in Richmond, VA · Mental Health Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.