Provider Demographics
NPI:1841497484
Name:LEVIN, RUTH EILLEEN (BS)
Entity type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:EILLEEN
Last Name:LEVIN
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 LAKE VISTA DR
Mailing Address - Street 2:
Mailing Address - City:BANEBERRY
Mailing Address - State:TN
Mailing Address - Zip Code:37890-4819
Mailing Address - Country:US
Mailing Address - Phone:865-674-2444
Mailing Address - Fax:
Practice Address - Street 1:225 W 1ST NORTH ST
Practice Address - Street 2:SUITE 310
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-4614
Practice Address - Country:US
Practice Address - Phone:423-522-2200
Practice Address - Fax:423-522-2180
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor