LEVANTA COUNSELING SERVICESS LLC
NPI: 1376917146
· GLENDALE, CA 91206
· Mental Illness Community Based Residential Treatment Facility
· NPI assigned 11/17/2015
$718K
Total Medicaid Paid
Provider Details
| Authorized Official | BONZON, TEODULO (MANAGER) |
| NPI Enumeration Date | 11/17/2015 |
Related Entities
Other providers sharing the same authorized official: BONZON, TEODULO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
52 |
$174K |
| 2024 |
164 |
$544K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2031 |
Assisted living; waiver, per diem |
216 |
202 |
$718K |