Provider Demographics
NPI:1881561512
Name:ANOVA LEVEL
Entity type:Organization
Organization Name:ANOVA LEVEL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LATAUSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOONE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:804-439-7578
Mailing Address - Street 1:PO BOX 38936
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23231-1311
Mailing Address - Country:US
Mailing Address - Phone:804-439-7578
Mailing Address - Fax:804-438-2533
Practice Address - Street 1:2025 E MAIN ST STE 205
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-7073
Practice Address - Country:US
Practice Address - Phone:804-439-7578
Practice Address - Fax:804-438-2533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-18
Last Update Date:2025-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health