Provider Demographics
NPI:1073786083
Name:LEVITT, TAUBE (MFT)
Entity Type:Individual
Prefix:MS
First Name:TAUBE
Middle Name:
Last Name:LEVITT
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15615 ALTON PKWY STE 450
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3308
Mailing Address - Country:US
Mailing Address - Phone:714-716-9905
Mailing Address - Fax:
Practice Address - Street 1:15615 ALTON PKWY STE 450
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3308
Practice Address - Country:US
Practice Address - Phone:714-716-9905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-10
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT34972101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health