| Aevum Behavioral Health Va Llc | |
|
303 Holman Street Suite 101 Farmville VA 23901 | |
| (917) 780-2351 | |
| Not Available |
| Full Name | Aevum Behavioral Health Va Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 303 Holman Street, Farmville, Virginia |
| Authorized Official Name and Position | Levi Lipovenko (CEO) |
| Authorized Official Contact | 8482100028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aevum Behavioral Health Va Llc 2324 Forest Cir Toms River NJ 08755-0979 Ph: (917) 780-2351 | Aevum Behavioral Health Va Llc 303 Holman Street Suite 101 Farmville VA 23901 Ph: (917) 780-2351 |
| NPI Number | 1104650985 |
|---|---|
| Provider Enumeration Date | 08/26/2024 |
| Last Update Date | 08/26/2024 |
| Certification Date | 08/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104650985 | NPI | - | NPPES |
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