Provider Demographics
NPI:1043072317
Name:KATHLEEN LEVY LMFT LLC
Entity type:Organization
Organization Name:KATHLEEN LEVY LMFT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMFT
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVY
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:401-788-9500
Mailing Address - Street 1:71 WILD FLOWER TRL
Mailing Address - Street 2:
Mailing Address - City:SOUTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02879-1437
Mailing Address - Country:US
Mailing Address - Phone:401-932-0504
Mailing Address - Fax:401-788-9500
Practice Address - Street 1:24 SALT POND RD STE B4
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:RI
Practice Address - Zip Code:02879-4320
Practice Address - Country:US
Practice Address - Phone:401-788-9500
Practice Address - Fax:401-788-9500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty