Provider Demographics
NPI:1154689792
Name:LEVIS, RAJANI V (MS, LMFT, PPS, CTTS)
Entity Type:Individual
Prefix:MS
First Name:RAJANI
Middle Name:V
Last Name:LEVIS
Suffix:
Gender:F
Credentials:MS, LMFT, PPS, CTTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 W RIVERSIDE AVE STE 8319
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-0580
Mailing Address - Country:US
Mailing Address - Phone:415-683-1008
Mailing Address - Fax:
Practice Address - Street 1:522 W RIVERSIDE AVE STE 8319
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-0580
Practice Address - Country:US
Practice Address - Phone:415-683-1008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-02
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF61241036106H00000X
NM0190051106H00000X
CA51494106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist