Provider Demographics
NPI:1114302429
Name:LEVITAS, CYNTHIA
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:LEVITAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:
Other - Last Name:LEVITAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MFT INTERN
Mailing Address - Street 1:6988 PINEHAVEN RD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-1018
Mailing Address - Country:US
Mailing Address - Phone:510-914-0956
Mailing Address - Fax:510-428-9393
Practice Address - Street 1:2648 INTERNATIONAL BLVD
Practice Address - Street 2:BRIGHTER BEGINNINGS
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94601-1506
Practice Address - Country:US
Practice Address - Phone:510-437-8950
Practice Address - Fax:510-437-8955
Is Sole Proprietor?:No
Enumeration Date:2015-07-28
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA69789101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health