Provider Demographics
NPI:1376821751
Name:SARAH H LEAVITT, LPC, LLC
Entity Type:Organization
Organization Name:SARAH H LEAVITT, LPC, LLC
Other - Org Name:COUNSELING ANCHORAGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:H
Authorized Official - Last Name:LEAVITT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:907-227-8001
Mailing Address - Street 1:4050 LAKE OTIS PKWY STE 205
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-5221
Mailing Address - Country:US
Mailing Address - Phone:907-227-8001
Mailing Address - Fax:
Practice Address - Street 1:4050 LAKE OTIS PKWY STE 205
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-5221
Practice Address - Country:US
Practice Address - Phone:907-227-8001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-02
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK668101YP2500X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty