Provider Demographics
NPI:1619048808
Name:JOHN L. LEVITT
Entity Type:Organization
Organization Name:JOHN L. LEVITT
Other - Org Name:ALTERNATIVES CENTER FOR COUNSELING AND PSYCHOTHERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:LEVITT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:847-370-1995
Mailing Address - Street 1:818 LAKELAND DR
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-6542
Mailing Address - Country:US
Mailing Address - Phone:847-370-1995
Mailing Address - Fax:847-517-7138
Practice Address - Street 1:818 LAKELAND DR
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-6542
Practice Address - Country:US
Practice Address - Phone:847-370-1995
Practice Address - Fax:847-517-7138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-11
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490016701041C0700X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty