Individual provider Active NPI

Molly Blair Levine-Hunt, LCSW

  • Community/Behavioral Health Agency
  • Atlanta, GA
National Provider Identifier
1407260383
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
58-1479212 Issued in GA
Practice address
4549 Chamblee Dunwoody Rd
Atlanta, GA 30338-6210
Phone
(678) 557-6212
Fax
(770) 677-9400
NPI assigned
Jun 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 58-1479212 GA Primary

Addresses

Primary practice location

4549 Chamblee Dunwoody Rd
Atlanta, GA 30338-6210

Mailing address

4549 Chamblee Dunwoody Rd
Atlanta, GA 30338-6210
Phone (678) 557-6212

Other names 1

  • Ms. Molly Blair Levine Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
58-1479212GAMDCommunity/Behavioral Health Agency

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1407260383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4549 CHAMBLEE DUNWOODY RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386210",
            "telephone_number": "678-557-6212",
            "fax_number": "770-677-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4549 CHAMBLEE DUNWOODY RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386210",
            "telephone_number": "678-557-6212",
            "fax_number": "770-677-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE-HUNT",
        "first_name": "MOLLY",
        "middle_name": "BLAIR",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "58-1479212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "LEVINE",
            "middle_name": "BLAIR",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.