Provider Demographics
NPI:1154809648
Name:LEVAN-BUNYON, SCARLETT JASMINE (MA, ATR-BC, LPC)
Entity type:Individual
Prefix:MRS
First Name:SCARLETT
Middle Name:JASMINE
Last Name:LEVAN-BUNYON
Suffix:
Gender:F
Credentials:MA, ATR-BC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 PHOENIXVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-1046
Mailing Address - Country:US
Mailing Address - Phone:610-228-0670
Mailing Address - Fax:
Practice Address - Street 1:101 PHOENIXVILLE PIKE
Practice Address - Street 2:
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355
Practice Address - Country:US
Practice Address - Phone:610-228-0670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-06
Last Update Date:2018-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC008446101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional