Provider Demographics
NPI:1043468291
Name:LEVART, JENNIFER JEAN (LPC)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:JEAN
Last Name:LEVART
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2050 FIELDS CV
Mailing Address - Street 2:
Mailing Address - City:PEA RIDGE
Mailing Address - State:AR
Mailing Address - Zip Code:72751-3529
Mailing Address - Country:US
Mailing Address - Phone:479-685-9628
Mailing Address - Fax:479-876-8261
Practice Address - Street 1:2050 FIELDS CV
Practice Address - Street 2:
Practice Address - City:PEA RIDGE
Practice Address - State:AR
Practice Address - Zip Code:72751-3529
Practice Address - Country:US
Practice Address - Phone:479-685-9628
Practice Address - Fax:479-876-8261
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-29
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1112092101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor