Individual provider · Type 1 NPI
Justin Charles Levy, LICSW
Mental Health Counselor · Minneapolis, MN
NPI number
1063381028
Active
Practice location
1612C W Lake St
Minneapolis, MN 55408-2549
Mailing address
2900 11th Ave S Apt 208
Minneapolis, MN 55407-5814
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 32300 (MN) |
Mental Health Counselor: Definition to come...
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About NPI 1063381028
Justin Charles Levy, LICSW's National Provider Identifier is 1063381028, issued on Oct 30, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Minneapolis, MN. The record was last updated on Oct 30, 2025.